NPIMap

Organization Active NPI

Sweetwater Hospital Association

  • General Acute Care Hospital
  • Sweetwater, TN
National Provider Identifier
1366441370
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0000000089 Issued in TN
Legal business name
SWEETWATER HOSPITAL ASSOCIATION
Practice address
304 Wright St
Sweetwater, TN 37874
Phone
(865) 213-8200
Fax
(865) 213-8596
NPI assigned
Jul 20, 2005
Last updated
Jun 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Debbie Thompson
Title
Cfo
Phone
(865) 213-8336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0000000089 TN Primary

Addresses

Primary practice location

304 Wright St
Sweetwater, TN 37874

Mailing address

304 Wright St
Sweetwater, TN 37874-1181
Phone (865) 213-8200

Other identifiers 2

IdentifierTypeStateIssuer
0440084MedicaidTN
1000280OtherBLUE CROSS OF TN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100920000538 TN Part A Provider - Hospital 6608773775 Practice locations: Sweetwater, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366441370. Details of each certification follow.

Hospital certification: CCN 440084

Legal name
SWEETWATER HOSPITAL ASSOCIATION
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 8, 2013
Beds
59
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Aug 1, 1936 in TN
Enrollment address
304 Wright Street
Sweetwater, TN 37874-1181
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Sweetwater Hospital AssociationCCN 440084 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Sweetwater Hosp-ER5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

321 Tellico St S
Madisonville, TN 37354
Phone (423) 442-5288

304 Church St
Sweetwater, TN 37874
Phone (865) 213-8200

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John Carson, III Individual Corporate Director Jul 21, 2010
James Fairweather Individual Corporate Director Jul 21, 2010
Gary Kimsey Individual Corporate Director Jul 21, 2010
Ashley Oelgoetz Individual W-2 Managing EmployeeChief Financial Officer Nov 28, 2022
Patrick Pennington Individual Corporate Director Nov 27, 2018
Barbara Watson Individual Corporate Director Jul 21, 2010
Kenya Kozawa Individual Corporate Director Jul 21, 2010

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sweetwater Home Health AgencySweetwater, TN, CCN 447476 Home health agency Operational/Managerial Control Aug 1, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 132

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 132

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1366441370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WRIGHT ST",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378741181",
            "telephone_number": "865-213-8200",
            "fax_number": "865-213-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 WRIGHT ST",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "37874",
            "telephone_number": "865-213-8200",
            "fax_number": "865-213-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "865-213-8336"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "0000000089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440084",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TN",
            "identifier": "1000280",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, TN

Sources for this page

Verify at the official NPI Registry.