NPIMap

Organization Active NPI

Hardin County Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Selmer, TN
National Provider Identifier
1881247500
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HARDIN COUNTY REGIONAL HEALTH CENTER
Practice address
181 S Y SQ
Selmer, TN 38375-1739
Phone
(731) 925-2300
NPI assigned
Jul 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Yainieh T McGinley
Title
Ceo
Phone
(731) 925-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

181 S Y SQ
Selmer, TN 38375-1739

Mailing address

PO Box 655
Savannah, TN 38372-0655
Phone (731) 925-2300

Other names 1

  • LIFESPAN HEALTH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190921000074 TN Part A Provider - Federally Qualified Health Center (FQHC) 3779490776 Practice locations: Selmer, TN

Federally qualified health center certification: CCN 441989

Legal name
HARDIN COUNTY REGIONAL HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 21, 2019
Last certification
Sep 21, 2019
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Aug 8, 2019 in TN
Enrollment address
181 S Y SQ
Selmer, TN 38375-1739

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Hardin County Regional Health Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

765 Florence Rd
Ste A
Savannah, TN 38372

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James Baker Individual Corporate DirectorBoard Member Jan 22, 2015
Vincent Hopson Individual Corporate DirectorBoard Member Aug 8, 2019
Ryan Miller Individual Corporate DirectorBoard Member Aug 8, 2019
Jennifer Lynn Williams Individual Corporate OfficerCfo Jan 4, 2008
W-2 Managing EmployeeCfo Jan 4, 2008
Matthew McGinley Individual Corporate OfficerCoo Aug 8, 2019
W-2 Managing Employee Aug 8, 2019
Rita Maxedon Individual Corporate DirectorBoard Member Aug 8, 2019
Stephen Milligan Individual Corporate DirectorBoard Member Aug 8, 2019
June Lafran Plunk Individual Corporate DirectorBoard Member Jul 31, 2022
Charles Bevis Individual Corporate DirectorBoard Member Aug 8, 2019
Allen Cherry Individual Corporate DirectorBoard Member Aug 8, 2019
Tony Polk Individual Corporate DirectorBoard Member Aug 8, 2019
Cora Damron Individual Corporate DirectorBoard Member Aug 8, 2019
Mina Bhakta Individual Corporate DirectorBoard Member Aug 8, 2019
Rebecca L Wright Individual Corporate OfficerCeo Oct 22, 2024
W-2 Managing EmployeeCeo Oct 22, 2024

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1881247500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383720655",
            "telephone_number": "731-925-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 S Y SQ",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383751739",
            "telephone_number": "731-925-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDIN COUNTY REGIONAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "MCGINLEY",
        "authorized_official_first_name": "YAINIEH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "731-925-2300"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFESPAN HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Selmer, TN

Sources for this page

Verify at the official NPI Registry.