Cumberland River Hospital Inc

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

15 Issued in TN

Legal business name

CUMBERLAND RIVER HOSPITAL INC

Practice address

100 Old Jefferson St
Celina, TN 38551-4040

Phone

(931) 243-3581

Fax

(931) 243-5219

NPI assigned

Nov 21, 2006

Last updated

Dec 27, 2017By 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

Patricia Lynne Strong

Title

Cao

Phone

(931) 243-3581

Specialties & licenses 5

Addresses

Other identifiers 15

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Cookeville Regional Medical Center

  dba CRMC Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Cookeville, TN
  • NPI 1326479742

  Member Of

  NPD member

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.

• Jessie Lee Copeland Jr., M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Celina, TN
  • NPI 1164412474

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1568537348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLD JEFFERSON ST",
            "address_2": "PO BOX 427",
            "city": "CELINA",
            "state": "TN",
            "postal_code": "385514040",
            "telephone_number": "931-243-3581",
            "fax_number": "931-243-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLD JEFFERSON ST",
            "city": "CELINA",
            "state": "TN",
            "postal_code": "385514040",
            "telephone_number": "931-243-3581",
            "fax_number": "931-243-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND RIVER HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "STRONG",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "931-243-3581"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "15",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "TN",
            "license": "15",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "TN",
            "license": "15",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5534",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100019900",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW BCBS #",
            "identifier": "4139416",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A3855100",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "199752800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "4141050",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200856370A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1000134",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509296",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4139416",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K65939910",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000134",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4141267",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440141",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0713454",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Clay Office of County (Clay County EMS)
• Cumberland River Hospital Inc (Cumberland River Hospital)
• Cumberland River Hospital Inc (Cumberland River HomeCare)
• Cumberland River Hospital Inc (Cumberland River Medical Clinic)
• Cumberland River Hospital Inc (Cumberland River Physician Associates)
• Cumberland River Hospital Inc (Cumberland River Hospital ER)
• Cumberland River Hospital Inc (Cumberland River Hospital)
• Cumberland River Medical Clinic, LLC
• Dale Hollow Family Practice LLC (Brown Street Clinic)
• Donaldson Pharmacy

• Critical Access Hospital in Celina, TN
• Providers in Celina, TN by specialty
• Critical Access Hospital in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.