Organization Active NPI

Hma Fentress County General Hospital Inc

  • Certified Registered Nurse Anesthetist
  • Jamestown, TN
National Provider Identifier
1497983803
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
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

Updated by the provider on Jun 24, 2009

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)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0440083MedicaidTN

Other names 1

  • Jamestown Regional CRNA Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.