Claiborne Medical Center

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0000000040 Issued in TN

Legal business name

CLAIBORNE MEDICAL CENTER

Practice address

1850 Old Knoxville Rd
Tazewell, TN 37879-3625

Phone

(423) 626-4211

Fax

(423) 626-9926

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

John T Geppi

Title

Evp/Cfo

Phone

(865) 374-6864

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Claiborne County Nursing Home Doing business as

Electronic endpoints 1

Tax ID family

Claiborne Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Claiborne Medical Center

  • Skilled Nursing Facility
  • Tazewell, TN
  • NPI 1154435030
  NPD tax ID
• Claiborne Medical Center

  • General Acute Care Hospital
  • Tazewell, TN
  • NPI 1942205166
  NPD tax ID

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1386865673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 CENTERPOINT BLVD BLDG C",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321960",
            "telephone_number": "865-374-6864",
            "fax_number": "865-374-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 OLD KNOXVILLE RD",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793625",
            "telephone_number": "423-626-4211",
            "fax_number": "423-626-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIBORNE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "GEPPI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "865-374-6864"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0000000040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440036",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "claibornemedicalcenter@yourcarecommunity.org",
            "affiliation": "N",
            "address_1": "1850 Old Knoxville Rd",
            "city": "Tazewell",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378793625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Claiborne County Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Claiborne County Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claiborne County Hospital Claiborne County Ambulance
• Claiborne County Hospital Pharmacy
• Claiborne EMS LLC
• Claiborne Health & Wellness Inc.
• Claiborne Medical Center
• Claiborne Medical Center
• Nan Stanifer Cole, R.D.
• Katie Bundren Combs, LPC
• Comprehensive Home Healthcare Services LLC
• Compwhiz International LLC Dba St. Luke'S Therapy Services

• Nursing Facility/Intermediate Care Facility in Tazewell, TN
• Providers in Tazewell, TN by specialty
• Nursing Facility/Intermediate Care Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.