NPIMap

Organization Active NPI

James H. Quillen VA Medical Center

  • Critical Access Hospital
  • Moutain Home, TN
National Provider Identifier
1386673283
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
029967 Issued in TN
Legal business name
JAMES H. QUILLEN VA MEDICAL CENTER
Practice address
James H. Quillen/Vamc
Corner of Sidney and Lamont (Johnson City)
Moutain Home, TN 37684
Phone
(423) 926-1171
Fax
(423) 979-3558
NPI assigned
Jul 2, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Harber Wood, MD
Title
ER Director
Phone
(423) 926-1171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 029967 TN Primary

Addresses

Primary practice location

James H. Quillen/Vamc
Corner of Sidney and Lamont (Johnson City)
Moutain Home, TN 37684

Mailing address

Corner of Sidney and Lamont
(Johnson City)
Moutain Home, TN 37684
Phone (423) 926-1171

National Provider Directory

National Provider Directory
Tax ID family
Veterans Hosptial179 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386673283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CORNER OF SIDNEY AND LAMONT",
            "address_2": "(JOHNSON CITY)",
            "city": "MOUTAIN HOME",
            "state": "TN",
            "postal_code": "37684",
            "telephone_number": "423-926-1171",
            "fax_number": "423-979-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JAMES H. QUILLEN/VAMC",
            "address_2": "CORNER OF SIDNEY AND LAMONT (JOHNSON CITY)",
            "city": "MOUTAIN HOME",
            "state": "TN",
            "postal_code": "37684",
            "telephone_number": "423-926-1171",
            "fax_number": "423-979-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES H. QUILLEN VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "HARBER",
        "authorized_official_title_or_position": "ER DIRECTOR",
        "authorized_official_telephone_number": "423-926-1171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TN",
            "license": "029967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moutain Home, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.