NPIMap

Organization Active NPI

Saint Thomas River Park Hospital LLC

  • Rural Health Clinic/Center
  • McMinnville, TN
National Provider Identifier
1649068933
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SAINT THOMAS RIVER PARK HOSPITAL LLC
Practice address
1589 Sparta St Ste 104
McMinnville, TN 37110-1392
Phone
(931) 815-6400
NPI assigned
Apr 28, 2025
Organization subpart
Yes
Parent organization
SAINT THOMAS RIVER PARK HOSPITAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Candace Garrett
Title
Regional Director of Operations
Phone
(615) 290-7184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1589 Sparta St Ste 104
McMinnville, TN 37110-1392

Mailing address

300 20TH Ave N Ste 403
Nashville, TN 37203-5180
Phone (615) 284-4088

Other names 1

  • Ascension Saint Thomas Medical Partners McMinnville Family Medicine Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1064508Saint Thomas Medical Partners-McMinnville Womens1589 Sparta St, Suite 306, McMinnville, TN 37110Provider-performed microscopyAug 27, 2026
44D2141934St Thomas Medical Partners-McMinnville1589 Sparta Street Ste 104, McMinnville, TN 37110Certificate of waiverDec 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Saint Thomas River Park Hospital LLC11 organizations share this tax ID, including this one
Part of
Saint Thomas River Park Hospital LLC

Other organizations with this tax ID 10

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

Locations

1589 Sparta St
Ste 104
McMinnville, TN 37110
Phone (931) 815-1616

NPI Registry JSON

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1649068933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 403",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035180",
            "telephone_number": "615-284-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1589 SPARTA ST STE 104",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101392",
            "telephone_number": "931-815-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT THOMAS RIVER PARK HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT THOMAS RIVER PARK HOSPITAL LLC",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "615-290-7184"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Saint Thomas Medical Partners McMinnville Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McMinnville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.