NPIMap

Organization Active NPI

River Park Hospital LLC

Doing business as River Park Hospital

  • General Acute Care Hospital
  • McMinnville, TN
National Provider Identifier
1881642809
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0000002909 Issued in TN
Legal business name
RIVER PARK HOSPITAL LLC
Doing business as
River Park Hospital
Practice address
1559 Sparta St
MC Minnville, TN 37110-1316
Phone
(931) 815-4000
Fax
(931) 815-4710
NPI assigned
May 4, 2006
Last updated
Feb 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Shelton Ray Coffey
Title
VP Reimbursement
Phone
(615) 764-3009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0000002909 TN Primary

Addresses

Primary practice location

1559 Sparta St
MC Minnville, TN 37110-1316

Mailing address

1559 Sparta St
MC Minnville, TN 37110-1316
Phone (931) 815-4000

Other identifiers 2

IdentifierTypeStateIssuer
RIV015NMedicaidAL
1000162MedicaidTN

Other names 1

  • River Park Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Saint Thomas River Park Hospital LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1881642809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 SPARTA ST",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371101316",
            "telephone_number": "931-815-4000",
            "fax_number": "931-815-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 SPARTA ST",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371101316",
            "telephone_number": "931-815-4000",
            "fax_number": "931-815-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER PARK HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "SHELTON",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "VP REIMBURSEMENT",
        "authorized_official_telephone_number": "615-764-3009"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "0000002909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RIV015N",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000162",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Park Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McMinnville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.