Active NPI
Roane Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Harriman, TN
National Provider Identifier
1770690729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- License
- 98
- 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 CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.