Active NPI
Roane Medical Center
- Psychiatric Hospital Unit
- Harriman, TN
National Provider Identifier
1831119064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 98
- Legal business name
- ROANE MEDICAL CENTER
- Doing business as
- EMORY RIVER GERIATRIC CENTER
- Practice address
- 512 Devonia St
Harriman, TN 37748-0000 - Phone
- (865) 882-1538
- Fax
- (865) 882-4224
- NPI assigned
- Jul 20, 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, CPA
- Title
- Cfo
- Phone
- (865) 882-4377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 98 | TN | Primary |
Addresses
Primary practice location
512 Devonia St
Harriman, TN 37748-0000
Mailing address
512 Devonia St
P.O. Box 489
Harriman, TN 37748-0000
Phone (865) 882-1538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4034389 | Other | TN | BLUE CROSS |
Other names 1
- EMORY RIVER GERIATRIC CENTER
National Provider Directory
National Provider Directory- Part of
- Betty Fisher
Locations
814 N Kentucky St
Ste 1
Kingston, TN 37763
Phone (865) 717-1121
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Athens, TN
- NPI 1891754024
-
- Psychiatry Physician
- Cleveland, TN
- NPI 1235257726
-
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Knoxville, TN
- NPI 1003879891
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1932187143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202256000000",
"number": "1831119064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 DEVONIA ST",
"address_2": "P.O. BOX 489",
"city": "HARRIMAN",
"state": "TN",
"postal_code": "377480000",
"telephone_number": "865-882-1538",
"fax_number": "865-882-4224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 DEVONIA ST",
"city": "HARRIMAN",
"state": "TN",
"postal_code": "377480000",
"telephone_number": "865-882-1538",
"fax_number": "865-882-4224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROANE MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ROANE MEDICAL CENTER",
"enumeration_date": "2006-07-20",
"last_updated": "2008-02-06",
"status": "A",
"authorized_official_last_name": "BARDILL",
"authorized_official_first_name": "JANICE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "865-882-4377",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "TN",
"license": "98",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4034389",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EMORY RIVER GERIATRIC CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}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 Feb 6, 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.