MRH Dba WMC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

277 Issued in TN

Legal business name

MRH DBA WMC

Practice address

505 South High Street
Waynesboro, TN 38485

Phone

(931) 722-5832

Fax

(931) 722-6522

NPI assigned

Jan 2, 2007

Last updated

Aug 4, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

MAURY REGIONAL HOSPITAL DBA WAYNE MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Charles J Brinkley III

Title

Cfo

Phone

(931) 405-4212

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wayne Care Nursing Home Former legal business name

Tax ID family

Wayne Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Maury Regional Hospital

  • Non-Pharmacy Dispensing Site
  • Waynesboro, TN
  • NPI 1528665452
  NPD tax ID

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1871650895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 JV MANGUBAT DRIVE",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "38485",
            "telephone_number": "931-722-3641",
            "fax_number": "931-722-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 SOUTH HIGH STREET",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "38485",
            "telephone_number": "931-722-5832",
            "fax_number": "931-722-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRH DBA WMC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAURY REGIONAL HOSPITAL DBA WAYNE MEDICAL CENTER",
        "enumeration_date": "2007-01-02",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "BRINKLEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "931-405-4212",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440515",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne Care Nursing Home",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Wayne Care Nursing Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Medi-Serv. Inc.
• Kelsey L Mercer, DPT
• Cayley Jae Merriman
• Rhonda Penelope Moore, LPTA
• Khearra Mosley, MA
• Joseph C. Murphy, D.PH.
• Ashley Danielle Musselwhite
• Donald Gabriel Polk, D.O.
• Donald H Polk, DO
• Alexandria Nicole Popeholt, MSN, FNP

• Nursing Facility/Intermediate Care Facility in Waynesboro, TN
• Providers in Waynesboro, TN by specialty
• Nursing Facility/Intermediate Care Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.