Organization Active NPI

Lincoln Medical Center

  • Rural Acute Care Hospital
  • Fayetteville, TN
National Provider Identifier
1629024914
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
0000000085 Issued in TN
Legal business name
LINCOLN MEDICAL CENTER
Practice address
106 Medical Center Blvd
Fayetteville, TN 37334-2684
Phone
(931) 438-1100
Fax
(931) 438-7456
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Authorized official

Name
Mrs. Vicky N Groce, CNO CRNP
Title
Cno
Phone
(931) 438-7469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 0000000085 TN Primary

Addresses

Primary practice location

106 Medical Center Blvd
Fayetteville, TN 37334-2684

Mailing address

106 Medical Center Blvd
Fayetteville, TN 37334-2684
Phone (931) 438-1100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1629024914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MEDICAL CENTER BLVD",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342684",
            "telephone_number": "931-438-1100",
            "fax_number": "931-438-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MEDICAL CENTER BLVD",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342684",
            "telephone_number": "931-438-1100",
            "fax_number": "931-438-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "GROCE",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CNO",
        "authorized_official_telephone_number": "931-438-7469",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNO CRNP"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "TN",
            "license": "0000000085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.