NPIMap

Organization Active NPI

Takoma Hospital & Sanitarium Training School, Inc.

Doing business as Takoma Adventist Hospital

  • Psychiatric Hospital Unit
  • Greeneville, TN
National Provider Identifier
1811915838
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
0000000054 Issued in TN
Legal business name
TAKOMA HOSPITAL & SANITARIUM TRAINING SCHOOL, INC.
Doing business as
Takoma Adventist Hospital
Practice address
401 Takoma Ave
Greeneville, TN 37743-4647
Phone
(423) 639-3151
Fax
(423) 636-2374
NPI assigned
Jul 17, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
TAKOMA ADVENTIST HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Blin Richards
Title
Cfo
Phone
(423) 636-2376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 0000000054 TN Primary

Addresses

Primary practice location

401 Takoma Ave
Greeneville, TN 37743-4647

Mailing address

401 Takoma Ave
Greeneville, TN 37743-4647
Phone (423) 639-3151

Other identifiers 9

IdentifierTypeStateIssuer
1000393OtherTNBLUE CROSS
1000393OtherTNTC TENNCARE SELECT
3924507OtherTNMEDICARE LCSW GROUP
A3774401OtherTNTC JOHN DEERE MCAID
3278734OtherTNMEDICARE PART B GROUP #
A3774301OtherTNMEDICARE MANAGED CARE
1000393OtherTNTC BLUE CARE
4400050MedicaidTN
A3774401OtherTNJOHN DEERE HEALTH PLAN

Other names 1

  • Takoma Adventist Hospital Doing business as

National Provider Directory

National Provider Directory
Part of
Takoma Hosp Sanitarium Tra

Locations

68 Mosheim Railroad St
Ste 201
Mosheim, TN 37818
Phone (423) 422-7813

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1811915838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 TAKOMA AVE",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434647",
            "telephone_number": "423-639-3151",
            "fax_number": "423-636-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 TAKOMA AVE",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434647",
            "telephone_number": "423-639-3151",
            "fax_number": "423-636-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKOMA HOSPITAL & SANITARIUM TRAINING SCHOOL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAKOMA ADVENTIST HOSPITAL",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "BLIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-636-2376"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "TN",
            "license": "0000000054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1000393",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TC TENNCARE SELECT",
            "identifier": "1000393",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LCSW GROUP",
            "identifier": "3924507",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TC JOHN DEERE MCAID",
            "identifier": "A3774401",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B GROUP #",
            "identifier": "3278734",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MANAGED CARE",
            "identifier": "A3774301",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TC BLUE CARE",
            "identifier": "1000393",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4400050",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH PLAN",
            "identifier": "A3774401",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Takoma Adventist Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.