Smith County Memorial Hospital, LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

SMITH COUNTY MEMORIAL HOSPITAL, LLC

Practice address

158 Hospital Dr
Carthage, TN 37030-1083

Phone

(615) 735-1560

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ellis Goodin, M.D.

Title

President

Phone

(931) 484-0048

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1770509697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292245",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372292245",
            "telephone_number": "931-484-0048",
            "fax_number": "931-456-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 HOSPITAL DR",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370301083",
            "telephone_number": "615-735-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH COUNTY MEMORIAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "GOODIN",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-484-0048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770509697",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smith County Drug Center Inc
• Smith County Family Practice, PC
• Smith County Memorial Hospital LLC
• Smith County Memorial Hospital LLC
• Smith County Memorial Hospital LLC
• Annaleece Marie Smith, RBT
• Bowdoin Grayson Smith, D.O.
• Brandon M Smith, OD
• Ginger L Smith, DO
• Meagan White Smith

• General Acute Care Hospital in Carthage, TN
• Providers in Carthage, 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 Jan 8, 2008; 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.