Hardin County General Hospital
Organization Active NPI Land Ambulance · Savannah, TN
NPI 1487977872 · NPPES record last updated Feb 13, 2014
Key facts
- NPI
- 1487977872
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 9976 (TN)
- Legal business name
- HARDIN COUNTY GENERAL HOSPITAL
- Practice address
- 935 Wayne Rd
Savannah, TN 38372-1937 - Phone
- (731) 926-8177
- Fax
- (731) 926-8455
- NPI assigned
- Mar 12, 2010
- Organization subpart
- No
Authorized official
- Name
- Nicholas P. Lewis
- Title
- Ceo
- Phone
- (731) 926-8000
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Hardin County Nursing Home |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 2, 1952 |
| HMC Home Health, LLC |
Home health agency | 5% Or Greater Direct Ownership Interest (25%) | Feb 1, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100929001383 | TN | Part B Supplier - Ambulance Service Supplier | 6709790272 | Practice locations: Counce, TN; Savannah, TN |
National Provider Directory
- Tax ID family
- Hardin County Hospital
Locations
3575 Lonesome Pine Rd
Savannah, TN 38372
Phone (731) 925-5495
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 9976 | TN | Yes |
Addresses
Primary practice location
935 Wayne Rd
Savannah, TN 38372-1937
Mailing address
935 Wayne Rd
Savannah, TN 38372-1937
Phone (731) 926-8177
Other names
- Hardin County EMS
NPI Registry JSON
{
"created_epoch": "1268352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392249600000",
"number": "1487977872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 WAYNE RD",
"city": "SAVANNAH",
"state": "TN",
"postal_code": "383721937",
"telephone_number": "731-926-8177",
"fax_number": "731-926-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 WAYNE RD",
"city": "SAVANNAH",
"state": "TN",
"postal_code": "383721937",
"telephone_number": "731-926-8177",
"fax_number": "731-926-8455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARDIN COUNTY GENERAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-12",
"last_updated": "2014-02-13",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "731-926-8000"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TN",
"license": "9976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hardin County EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Savannah, TN
- Lindsay Nicole Harbin
- Hardin County Board of Education
- Hardin County Board of Education
- Hardin County General Hospital
- Hardin County General Hospital
- Hardin County General Hospital
- Hardin County General Hospital
- Hardin County General Hospital
- Hardin County General Hospital
- Hardin County General Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.