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Sweetwater Hospital Association

Organization Active NPI General Acute Care Hospital · Sweetwater, TN

NPI 1366441370 · NPPES record last updated Jun 6, 2018

Key facts

NPI
1366441370
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
0000000089 (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
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 1

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

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 4

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

Corporate family (same tax ID) 4

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

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

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

Affiliated clinicians 132

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

View all 132

Medicare Care Compare: Hospital

Listed as
Sweetwater Hospital Association CCN 440084
Overall star rating
★☆☆☆☆ 1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

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
Corporation · Non-profit
Incorporated
Aug 1, 1936 in TN
Enrollment address
304 Wright Street
Sweetwater, TN 37874-1181
Other Hospital Practice Location
Hospital subgroups
Acute care

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 Employee
Chief 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

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 Agency
Sweetwater, TN · CCN 447476		 Home health agency Operational/Managerial Control Aug 1, 2010

Medicare enrollment records

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

National Provider Directory

Tax ID family
Sweetwater Hospital Sso (5 organizations share this tax ID)

Specialties & licenses

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

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

IdentifierTypeStateIssuer
1000280OtherBLUE CROSS OF TN
0440084MedicaidTN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 6, 2018.

{
    "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TN",
            "identifier": "1000280",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440084",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, TN

All providers in Sweetwater, TN · General Acute Care Hospital in Tennessee

Sources for this page

Verify at the official NPI Registry.