NPIMap

Organization Active NPI

Hardin County General Hospital

Doing business as Hardin Medical Center

  • General Acute Care Hospital
  • Savannah, TN
National Provider Identifier
1699754812
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0000000061 Issued in TN
Legal business name
HARDIN COUNTY GENERAL HOSPITAL
Doing business as
Hardin Medical Center
Practice address
935 Wayne Road
Savannah, TN 38372
Phone
(731) 926-8000
Fax
(731) 926-8157
NPI assigned
Jan 16, 2006
Last updated
Jan 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Nicholas P Lewis
Title
Ceo
Phone
(731) 926-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0000000061 TN Primary

Addresses

Primary practice location

935 Wayne Road
Savannah, TN 38372

Mailing address

935 Wayne Road
Savannah, TN 38372
Phone (731) 926-8000

Other identifiers 1

IdentifierTypeStateIssuer
0440109MedicaidTN

Other names 1

  • HARDIN MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060314000438 TN Part A Provider - Hospital 6709790272 Practice locations: Savannah, TN
O20100930048336 TN DME Supplier - Medical Supply CompanyDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 6709790272 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Savannah, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699754812. Details of each certification follow.

Hospital certification: CCN 440109

Legal name
HARDIN COUNTY GENERAL HOSPITAL
Doing business as
HARDIN MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 28, 2013
Beds
58
Ownership / control type
Local
Organization structure
OtherNon-profit
Incorporated
Apr 2, 1952 in TN
Enrollment address
935 Wayne Rd
Savannah, TN 38372-1937
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

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.

Care Compare: Hospital

Medicare Care Compare
Listed as
Hardin Medical CenterCCN 440109 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hardin County Goverment Organization, Savannah, TN 5% Or Greater Direct Ownership Interest Apr 2, 1952
Other Oct 8, 2012
Larry Hinton Individual Corporate Director Oct 8, 2012
Gigi Wood Davis Individual Corporate Director Oct 8, 2012
Leigh Ann Hughes Individual W-2 Managing EmployeeCfo Dec 1, 2013
Arthur Granville Conaway Individual Corporate Director Oct 8, 2012
Clark Collier Individual Corporate Director Mar 14, 2006
Jeffrey Woodside Individual Corporate Director Oct 8, 2012

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Hardin County Nursing HomeSavannah, TN, CCN 445372 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 2, 1952
HMC Home Health, LLCSavannah, TN, CCN 447264 Home health agency 5% Or Greater Direct Ownership Interest (25%) Feb 1, 2010

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 215

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 215

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1699754812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 WAYNE ROAD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "38372",
            "telephone_number": "731-926-8000",
            "fax_number": "731-926-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 WAYNE ROAD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "38372",
            "telephone_number": "731-926-8000",
            "fax_number": "731-926-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDIN COUNTY GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "731-926-8000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "0000000061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440109",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARDIN MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, TN

Sources for this page

Verify at the official NPI Registry.