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Organization Active NPI

Sweetwater Hospital Association

Doing business as Sweetwater Hospital Crna Group

  • Certified Registered Nurse Anesthetist
  • Sweetwater, TN
National Provider Identifier
1629077532
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
43073 Issued in TN
Legal business name
SWEETWATER HOSPITAL ASSOCIATION
Doing business as
Sweetwater Hospital Crna Group
Practice address
304 Wright St
Sweetwater, TN 37874
Phone
(865) 213-8336
Fax
(865) 213-8359
NPI assigned
Jul 21, 2005
Last updated
Jun 6, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SWEETWATER HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Authorized official

Name
Debbie Thompson
Title
Cfo
Phone
(865) 213-8336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 43073 TN Primary

Addresses

Primary practice location

304 Wright St
Sweetwater, TN 37874

Mailing address

304 Wright St
Sweetwater, TN 37874-1181
Phone (865) 213-8336

Other names 1

  • SWEETWATER HOSPITAL CRNA GROUP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040518001141 TN Part B Supplier - Clinic/Group Practice 6608773775 Receives reassigned benefits from 38 practitioners
1 other NPI on this enrollment
Practice locations: Sweetwater, TN; Vonore, TN

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Sweetwater Hosp-ER5 organizations share this tax ID, including this one
Part of
Sweetwater Hosp-ER

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sweetwater Home Health AgencySweetwater, TN, CCN 447476 Home health agency Operational/Managerial Control Aug 1, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1629077532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WRIGHT ST",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378741181",
            "telephone_number": "865-213-8336",
            "fax_number": "865-213-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 WRIGHT ST",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "37874",
            "telephone_number": "865-213-8336",
            "fax_number": "865-213-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SWEETWATER HOSPITAL ASSOCIATION",
        "enumeration_date": "2005-07-21",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "865-213-8336"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "43073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWEETWATER HOSPITAL CRNA GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SWEETWATER HOSPITAL CRNA GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sweetwater, TN

Sources for this page

Verify at the official NPI Registry.