Organization Active NPI

Maury Regional Hospital

Doing business as Mobile Health Unit - Primary Care Network

  • Federally Qualified Health Center (FQHC)
  • Columbia, TN
National Provider Identifier
1689160939
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MAURY REGIONAL HOSPITAL
Doing business as
Mobile Health Unit - Primary Care Network
Practice address
98 Experiment Station Lane
Columbia, TN 38401-4700
Phone
(931) 796-4901
NPI assigned
Jul 10, 2018
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MAURY REGIONAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Gregory A Whitlock
Title
VP Finance/It
Phone
(931) 540-4212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

98 Experiment Station Lane
Columbia, TN 38401-4700

Mailing address

PO Box 100054
Atlanta, GA 30348-0054
Phone (931) 796-4901

Other names 1

  • Mobile Health Unit - Primary Care Network Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689160939. Details of each certification follow.

  • CCN 441986 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 441986

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MOBILE HEALTH UNIT-PRIMARY CARE NETWORK
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 19, 2018
Last certification
Oct 19, 2018
Ownership / control type
For profit – corporation
Facility address
98 Experiment Station Lane
Columbia, TN 38401

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
44D2152267Maury Regional Hospital98 Experiment Station Lane, Columbia, TN 38401Certificate of waiverAug 17, 2026

National Provider Directory

National Provider Directory
Part of
Maury Reg Hospital

Locations

98 Experiment Ln
Columbia, TN 38401
Phone (931) 796-4901

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1689160939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100054",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303480054",
            "telephone_number": "931-796-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 EXPERIMENT STATION LANE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014700",
            "telephone_number": "931-796-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURY REGIONAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAURY REGIONAL HOSPITAL",
        "enumeration_date": "2018-07-10",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP FINANCE/IT",
        "authorized_official_telephone_number": "931-540-4212"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Health Unit - Primary Care Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mobile Health Unit - Primary Care Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.