Cannon County Hospital LLC

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

0000000009 Issued in TN

Legal business name

CANNON COUNTY HOSPITAL LLC

Doing business as

Stones River Hospital

Practice address

324 Doolittle Rd
Woodbury, TN 37190-1139

Phone

(615) 563-7200

Fax

(615) 563-7314

NPI assigned

Jan 3, 2007

Last updated

Jul 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jaime Y Daugherty

Title

Controller

Phone

(615) 563-7201

Specialties & licenses 1

Addresses

Other names 1

• Stones River Hospital Doing business as

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1518024751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 DOOLITTLE RD",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901139",
            "telephone_number": "615-563-7200",
            "fax_number": "615-563-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 DOOLITTLE RD",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901139",
            "telephone_number": "615-563-7200",
            "fax_number": "615-563-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON COUNTY HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "615-563-7201"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TN",
            "license": "0000000009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stones River Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cannon County Chiropractic, PLLC
• Cannon County Healthcare PC (Woodbury Medical Center)
• Cannon County Hospital LLC
• Cannon County Hospital LLC (Stones River Hospital)
• Cannon County Hospital LLC (Stones River Hospital)
• Cannon County Hospital LLC (Stones River Family & Urgent Care Clinic)
• Cannon County Hospital LLC
• Cannon County Hospital, LLC
• Community Wellness Clinic Inc.
• Bernard John Coomes, DC

• Medicare Defined Swing Bed Hospital Unit in Woodbury, TN
• Providers in Woodbury, TN by specialty
• Medicare Defined Swing Bed Hospital Unit in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.