Organization Active NPI

Central Tennessee Hospital Corporation

  • General Acute Care Hospital
  • Dickson, TN
National Provider Identifier
1780621748
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
CENTRAL TENNESSEE HOSPITAL CORPORATION
Doing business as
TRISTAR HORIZON MEDICAL CENTER
Practice address
111 Highway 70 E
Dickson, TN 37055-2080
Phone
(615) 446-0446
Fax
(615) 441-2514
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Clarence Gray
Title
Cfo
Phone
(615) 326-2530

Specialties & licenses 1

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

Addresses

Primary practice location

111 Highway 70 E
Dickson, TN 37055-2080

Mailing address

1 Park PLZ
Regulatory Compliance Support, BLDG. 2-3 W
Nashville, TN 37203-6527
Phone (615) 886-5650

Other identifiers 1

IdentifierTypeStateIssuer
40-4694072MedicaidMI

Other names 1

  • TRISTAR HORIZON MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Columbia Horizon Med CT6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1780621748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK PLZ",
            "address_2": "REGULATORY COMPLIANCE SUPPORT, BLDG. 2-3 W",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036527",
            "telephone_number": "615-886-5650",
            "fax_number": "615-441-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HIGHWAY 70 E",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552080",
            "telephone_number": "615-446-0446",
            "fax_number": "615-441-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TENNESSEE HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-326-2530"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40-4694072",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRISTAR HORIZON MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dickson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.