Active NPI
Doctors Hospital of McMinn County, LLC
- Skilled Nursing Facility
- Etowah, TN
National Provider Identifier
1619155413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0000000165
- Legal business name
- DOCTORS HOSPITAL OF MCMINN COUNTY, LLC
- Doing business as
- MCMINN MEMORIAL NURSING HOME
- Practice address
- 886 Highway 411 N
Etowah, TN 37331-1912 - Phone
- (423) 263-3600
- NPI assigned
- Feb 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Clapp
- Title
- President
- Phone
- (423) 263-3600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 0000000165 | TN | |
| Skilled Nursing Facility | 314000000X | 0000000165 | TN | Primary |
Addresses
Primary practice location
886 Highway 411 N
Etowah, TN 37331-1912
Mailing address
886 Highway 411 N
Etowah, TN 37331-1912
Phone (423) 263-3600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0445277 | Medicaid | TN | |
| 7440131 | Medicaid | TN |
Other names 1
- MCMINN MEMORIAL NURSING HOME
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202688000000",
"number": "1619155413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "886 HIGHWAY 411 N",
"city": "ETOWAH",
"state": "TN",
"postal_code": "373311912",
"telephone_number": "423-263-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "886 HIGHWAY 411 N",
"city": "ETOWAH",
"state": "TN",
"postal_code": "373311912",
"telephone_number": "423-263-3600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTORS HOSPITAL OF MCMINN COUNTY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-04",
"last_updated": "2008-02-11",
"status": "A",
"authorized_official_last_name": "CLAPP",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "423-263-3600"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "TN",
"license": "0000000165",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TN",
"license": "0000000165",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0445277",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7440131",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MCMINN MEMORIAL NURSING HOME",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Etowah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.