Organization Active NPI

Roane Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Harriman, TN
National Provider Identifier
1770690729
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
98 Issued in TN
Legal business name
ROANE MEDICAL CENTER
Practice address
412 Devonia St
Harriman, TN 37748-2009
Phone
(865) 882-1323
Fax
(865) 882-4463
NPI assigned
Aug 24, 2006
Organization subpart
Yes
Parent organization
ROANE MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Mrs. Janice K Bardill, C.P.A.
Title
C.F.O.
Phone
(865) 882-4377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 98 TN Primary

Addresses

Primary practice location

412 Devonia St
Harriman, TN 37748-2009

Mailing address

412 Devonia St
P.O. Box 489
Harriman, TN 37748-2009
Phone (865) 882-1323

National Provider Directory

National Provider Directory
Part of
Betty Fisher

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1770690729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 DEVONIA ST",
            "address_2": "P.O. BOX 489",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377482009",
            "telephone_number": "865-882-1323",
            "fax_number": "865-882-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 DEVONIA ST",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377482009",
            "telephone_number": "865-882-1323",
            "fax_number": "865-882-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANE MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROANE MEDICAL CENTER",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "BARDILL",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "865-882-4377",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.P.A."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TN",
            "license": "98",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harriman, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.