McNairy Hospital Corporation

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

0000000081 Issued in TN

Legal business name

MCNAIRY HOSPITAL CORPORATION

Doing business as

Tennova Family Medicine

Practice address

1 Physicians Dr
Selmer, TN 38375-1887

Phone

(731) 645-6777

Fax

(731) 646-1333

NPI assigned

Oct 26, 2012

Last updated

Aug 24, 2015By 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

Laurie Holtsford

Title

Authorized Official

Phone

(615) 465-7466

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tennova Family Medicine Doing business as

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1649523739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "800-709-7338",
            "fax_number": "615-469-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PHYSICIANS DR",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383751887",
            "telephone_number": "731-645-6777",
            "fax_number": "731-646-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCNAIRY HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TN",
            "license": "0000000081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0443445",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennova Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McNairy County Developmental Services
• McNairy County Health Care Center LLC
• McNairy County Schools
• McNairy Hospital Corporation (Tennova Healthcare-McNairy Regional)
• McNairy Hospital Corporation (Medical Associates of McNairy Regional Hospital)
• McNairy Hospital Corporation (Tennova Healthcare-McNairy Regional)
• Kristin McNatt, RN
• Mellissa McTizic, MSW
• Golden Meek, SLP-CCC
• Memphis Hand Centers (Southern Hand Centers)

• Rural Health Clinic/Center in Selmer, TN
• Providers in Selmer, TN by specialty
• Rural Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.