NPIMap

Organization Active NPI

Unicoi County Outpatient Rehab

  • General Acute Care Hospital
  • Erwin, TN
National Provider Identifier
1396912838
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0000000119 Issued in TN
Legal business name
UNICOI COUNTY OUTPATIENT REHAB
Practice address
100 Greenway Cir
Erwin, TN 37650-2177
Phone
(423) 743-3141
Fax
(423) 743-2887
NPI assigned
May 14, 2008
Organization subpart
Yes
Parent organization
UNICOI COUNTY MEMORIAL HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Mr. Jimmy S Pate
Title
Ceo
Phone
(423) 743-3141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0000000119 TN Primary

Addresses

Primary practice location

100 Greenway Cir
Erwin, TN 37650-2177

Mailing address

100 Greenway Cir
Erwin, TN 37650-2177
Phone (423) 743-3141

Other identifiers 1

IdentifierTypeStateIssuer
4088769OtherTNBLUE CROSS AND BLUE SHIELD OF TENNESSEE

National Provider Directory

National Provider Directory
Tax ID family
Unicoi County Memorial H3 organizations share this tax ID, including this one
Part of
Unicoi County Memorial H

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1396912838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GREENWAY CIR",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376502177",
            "telephone_number": "423-743-3141",
            "fax_number": "423-743-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GREENWAY CIR",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376502177",
            "telephone_number": "423-743-3141",
            "fax_number": "423-743-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNICOI COUNTY OUTPATIENT REHAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNICOI COUNTY MEMORIAL HOSPITAL INC",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "PATE",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-743-3141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "0000000119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF TENNESSEE",
            "identifier": "4088769",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erwin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.