Cannon County Hospital, LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

0000000138 Issued in TN

Legal business name

CANNON COUNTY HOSPITAL, LLC

Doing business as

Dekalb Community Hospital

Practice address

520 W Main St
P.O. 640
Smithville, TN 37166-1138

Phone

(615) 215-5300

Fax

(615) 215-5600

NPI assigned

Sep 19, 2006

Last updated

Oct 22, 2007By 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

Jaime Y Daugherty

Title

Controller

Phone

(615) 563-7201

Specialties & licenses 1

Addresses

Other names 1

• Dekalb Community Hospital Doing business as

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1700983236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W MAIN ST",
            "address_2": "P.O. 640",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371661138",
            "telephone_number": "615-215-5300",
            "fax_number": "615-215-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W MAIN ST",
            "address_2": "P.O. 640",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371661138",
            "telephone_number": "615-215-5300",
            "fax_number": "615-215-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON COUNTY HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "615-563-7201"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "0000000138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dekalb Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ivan Lynn Caldwell, PHARMACIST
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• Carey Elise Camp
• Cannon County Hospital LLC (Dekalb Community Hospital)
• Cannon County Hospital, LLC (Deklab Community Hospital)
• Cannonb County Hospital, LLC (Dekalb Community Hospital)
• Caleb B Cantrell, MD
• Center Hill Emergency Physicians LLC
• Center Hill Medical, PLLC
• Centers for Recovery, LLC

• General Acute Care Hospital in Smithville, TN
• Providers in Smithville, TN by specialty
• General Acute Care Hospital in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.