Organization Active NPI

Roane Medical Center

  • General Acute Care Hospital
  • Harriman, TN
National Provider Identifier
1518957174
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
98 Issued in TN
Legal business name
ROANE MEDICAL CENTER
Practice address
512 Devonia St
Harriman, TN 37748-2115
Phone
(865) 882-1323
Fax
(865) 882-4463
NPI assigned
Oct 25, 2005
Organization subpart
Yes
Parent organization
COVENANT HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Ms. Janice K Bardill
Title
Cfo
Phone
(865) 882-4377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 98 TN Primary

Addresses

Primary practice location

512 Devonia St
Harriman, TN 37748-2115

Mailing address

512 Devonia St
P.O. Box 489
Harriman, TN 37748-2115
Phone (865) 882-1323

Other identifiers 1

IdentifierTypeStateIssuer
0440031MedicaidTN

National Provider Directory

National Provider Directory

Locations

512 Devonia St
Harriman, TN 37748
Phone (865) 882-1323

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1518957174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 DEVONIA ST",
            "address_2": "P.O. BOX 489",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377482115",
            "telephone_number": "865-882-1323",
            "fax_number": "865-882-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 DEVONIA ST",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377482115",
            "telephone_number": "865-882-1323",
            "fax_number": "865-882-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANE MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT HEALTH",
        "enumeration_date": "2005-10-25",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "BARDILL",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "865-882-4377",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "98",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440031",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harriman, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.