Active NPI
Hma Fentress County General Hospital Inc
- Certified Registered Nurse Anesthetist
- Jamestown, TN
National Provider Identifier
1497983803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- HMA FENTRESS COUNTY GENERAL HOSPITAL INC
- Practice address
- 436 Central Ave W
Jamestown, TN 38556-3031 - Phone
- (931) 879-8171
- NPI assigned
- Jun 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Parry, ESQ
- Title
- Sr VP and General Counsel
- Phone
- (239) 598-3111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
436 Central Ave W
Jamestown, TN 38556-3031
Mailing address
PO Box 803
Jamestown, TN 38556-0803
Phone (931) 879-8171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0440083 | Medicaid | TN |
Other names 1
- Jamestown Regional CRNA
National Provider Directory
National Provider DirectoryLocations
436 Central Ave W
Jamestown, TN 38556
Phone (931) 752-5762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245801600000",
"number": "1497983803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 803",
"city": "JAMESTOWN",
"state": "TN",
"postal_code": "385560803",
"telephone_number": "931-879-8171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 CENTRAL AVE W",
"city": "JAMESTOWN",
"state": "TN",
"postal_code": "385563031",
"telephone_number": "931-879-8171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HMA FENTRESS COUNTY GENERAL HOSPITAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-24",
"last_updated": "2009-06-24",
"status": "A",
"authorized_official_last_name": "PARRY",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "SR VP AND GENERAL COUNSEL",
"authorized_official_telephone_number": "239-598-3111",
"authorized_official_credential": "ESQ"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0440083",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jamestown Regional CRNA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jamestown, TN
- Gurnard Emergency Physicians LLC
- Hall Family Pharmacy Inc
- Philip M Hall, PHARMD
- Wendy Hinds
- Hma Fentress County General Hospital
- Hma Fentress County General Hospital LLC
- Hma Fentress County General Hospital LLC
- Hma Fentress County General Hospital LLC
- Stephanie Michelle Holt, LPC
- Home Comfort Medical Equipment
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.