NPIMap

Organization Active NPI

Perry Community Hospital, LLC

  • Psychiatric Hospital Unit
  • Linden, TN
National Provider Identifier
1487858221
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
0000000093 Issued in TN
Legal business name
PERRY COMMUNITY HOSPITAL, LLC
Practice address
2718 Squirrel Hollow Dr
Linden, TN 37096-3526
Phone
(913) 589-2121
Fax
(931) 589-3331
NPI assigned
Jun 14, 2007
Last updated
May 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Mrs. Liane A Parker
Title
Administrator
Phone
(931) 589-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 0000000093 TN Primary

Addresses

Primary practice location

2718 Squirrel Hollow Dr
Linden, TN 37096-3526

Mailing address

2718 Squirrel Hollow Dr
Linden, TN 37096-3526
Phone (913) 589-2121

Other identifiers 1

IdentifierTypeStateIssuer
0440040MedicaidTN

Other names 1

  • Perry Community Hospital Geriatric Psych Unit Other name

National Provider Directory

National Provider Directory
Tax ID family
Expertus Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1487858221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 SQUIRREL HOLLOW DR",
            "city": "LINDEN",
            "state": "TN",
            "postal_code": "370963526",
            "telephone_number": "913-589-2121",
            "fax_number": "931-589-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 SQUIRREL HOLLOW DR",
            "city": "LINDEN",
            "state": "TN",
            "postal_code": "370963526",
            "telephone_number": "913-589-2121",
            "fax_number": "931-589-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY COMMUNITY HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "LIANE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "931-589-2121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "TN",
            "license": "0000000093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440040",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perry Community Hospital Geriatric Psych Unit",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Perry Community Hospital Geriatric Psych Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Linden, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.