Organization Active NPI

Henry County Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Paris, TN
National Provider Identifier
1417043829
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
000000057 Issued in TN
Legal business name
HENRY COUNTY MEDICAL CENTER
Practice address
301 Tyson Ave
Paris, TN 38242-4544
Phone
(731) 642-1220
Fax
(731) 644-8587
NPI assigned
Oct 4, 2006
Last updated
Sep 12, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
HENRY COUNTY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Authorized official

Name
Mrs. Lisa Casteel
Title
Cfo
Phone
(731) 642-1220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 000000057 TN Primary

Addresses

Primary practice location

301 Tyson Ave
Paris, TN 38242-4544

Mailing address

PO Box 1030
301 Tyson Ave
Paris, TN 38242-1030
Phone (731) 642-1220

Other identifiers 1

IdentifierTypeStateIssuer
044U132MedicaidTN

National Provider Directory

National Provider Directory
Part of
Henry County Hospital

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1417043829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "address_2": "301 TYSON AVE",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382421030",
            "telephone_number": "731-642-1220",
            "fax_number": "731-644-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 TYSON AVE",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424544",
            "telephone_number": "731-642-1220",
            "fax_number": "731-644-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY COUNTY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENRY COUNTY MEDICAL CENTER",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "CASTEEL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "731-642-1220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TN",
            "license": "000000057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044U132",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.