McKenzie Tennessee Hospital Company LLC

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

0000000011 Issued in TN

Legal business name

MCKENZIE TENNESSEE HOSPITAL COMPANY LLC

Practice address

161 Hospital Dr
MC Kenzie, TN 38201-1636

Phone

(731) 352-5344

NPI assigned

Feb 1, 2006

Organization subpart

Yes

Parent organization

MCKENZIE HOSPITAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

William Hussey

Title

Senior VP, Group Operations

Phone

(888) 373-9600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• McKenzie Regional Hospital Doing business as

Part of

McKenzie Tennessee Hospital

Locations

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1881665396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 501092",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631501092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 HOSPITAL DR",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011636",
            "telephone_number": "731-352-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENZIE TENNESSEE HOSPITAL COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCKENZIE HOSPITAL CORPORATION",
        "enumeration_date": "2006-02-01",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "HUSSEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "SENIOR VP, GROUP OPERATIONS",
        "authorized_official_telephone_number": "888-373-9600"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TN",
            "license": "0000000011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4783",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4050785",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKenzie Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McKenzie Medical Center PC
• McKenzie Medical Center PC
• McKenzie SNF Healthcare LLC
• McKenzie Tennessee Hospital Company LLC
• McKenzie Tennessee Hospital Company LLC
• Brianna Douglas McKinney, PHARMD
• Med-Trans Corporation
• Heather Anne Melton, MD
• Bryan Hale Merrick, MD
• William Boothe Merrick, DO

• All providers in MC Kenzie, TN
• Medicare Defined Swing Bed Hospital Unit in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.