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

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 8

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hardin County Nursing Home
Savannah, TN · CCN 445372
Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 2, 1952
HMC Home Health, LLC
Savannah, TN · CCN 447264
Home health agency 5% Or Greater Direct Ownership Interest (25%) Feb 1, 2010

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100929001383 TN Part B Supplier - Ambulance Service Supplier 6709790272 Practice locations: Counce, TN; Savannah, TN

National Provider Directory

Tax ID family
Hardin County Hospital (9 organizations share this tax ID)

Locations

3575 Lonesome Pine Rd
Savannah, TN 38372
Phone (731) 925-5495

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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 Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 13, 2014.

{
    "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

All providers in Savannah, TN · Land Ambulance in Tennessee

Sources for this page

Verify at the official NPI Registry.