Tennessee Department of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

DO0000001638 Issued in TN

Legal business name

TENNESSEE DEPARTMENT OF HEALTH

Doing business as

Stewart County Community Medical Center

Practice address

1021 Spring St
Dover, TN 37058-3302

Phone

(931) 232-5329

Fax

(931) 232-7247

NPI assigned

Jul 30, 2010

Last updated

Jul 30, 2010By 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

Evelyn Vaillencourt

Title

Director

Phone

(931) 232-5329

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stewart County Community Medical Center Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• State of Tennessee

  dba Jackson Regional Laboratory

  • Clinical Medical Laboratory
  • Jackson, TN
  • NPI 1396983276
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Coble Shearon, R.N.

  • Registered Nurse
  • Nashville, TN
  • NPI 1134255086
  NPD (past)

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1558675728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 5TH AVE N",
            "address_2": "4TH FLOOR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372433400",
            "telephone_number": "615-741-4733",
            "fax_number": "615-532-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SPRING ST",
            "city": "DOVER",
            "state": "TN",
            "postal_code": "370583302",
            "telephone_number": "931-232-5329",
            "fax_number": "931-232-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "VAILLENCOURT",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "931-232-5329"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "TN",
            "license": "DO0000001638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1503176",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stewart County Community Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Steele, APRN
• Stewart County Board of Education
• Stewart County EMS
• Michael Zachary Stewart
• Emily Taylor, PHARM.D.
• Lorraine H Tseng, D.D.S.
• Kimberly Faye Turner, R.N.
• Debra L Van Toor, NP
• David Gene Wallace, D.PH.
• Deborah S Wallace, D.D.S

• Public Health or Welfare Agency in Dover, TN
• Providers in Dover, TN by specialty
• Public Health or Welfare Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.