Organization Active NPI

Monroe Hma LLC

Doing business as Clearview Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Monroe, GA
National Provider Identifier
1659314672
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
147613 Issued in GA
Legal business name
MONROE HMA LLC
Doing business as
Clearview Regional Medical Center
Practice address
330 Alcovy St
Monroe, GA 30655-2140
Phone
(770) 267-8461
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Tara P Richardson
Title
Authorized Official
Phone
(615) 221-3672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 147613 GA Primary

Addresses

Primary practice location

330 Alcovy St
Monroe, GA 30655-2140

Mailing address

330 Alcovy St
Monroe, GA 30655-2140
Phone (770) 267-8461

Other names 1

  • Clearview Regional Medical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1659314672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 ALCOVY ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552140",
            "telephone_number": "770-267-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ALCOVY ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552140",
            "telephone_number": "770-267-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE HMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-221-3672"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "GA",
            "license": "147613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearview Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.