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Organization Active NPI

Hardin County General Hospital

Doing business as Hardin County EMS

  • Land Ambulance
  • Savannah, TN
National Provider Identifier
1487977872
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
9976 Issued in TN
Legal business name
HARDIN COUNTY GENERAL HOSPITAL
Doing business as
Hardin County EMS
Practice address
935 Wayne Rd
Savannah, TN 38372-1937
Phone
(731) 926-8177
Fax
(731) 926-8455
NPI assigned
Mar 12, 2010
Last updated
Feb 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Authorized official

Name
Nicholas P. Lewis
Title
Ceo
Phone
(731) 926-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 9976 TN Primary

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 1

  • Hardin County EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

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

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Hardin County General Hos9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

935 Wayne Rd
Savannah, TN 38372
Phone (731) 925-4954

Ownership & related parties

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 HomeSavannah, TN, CCN 445372 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 2, 1952
HMC Home Health, LLCSavannah, TN, CCN 447264 Home health agency 5% Or Greater Direct Ownership Interest (25%) Feb 1, 2010

Owned or controlled facilities with NPI records 2

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

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.