Jefferson County Hma, LLC

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

0000000038 Issued in TN

Legal business name

JEFFERSON COUNTY HMA, LLC

Practice address

110 Hospital Dr
Jefferson City, TN 37760-5281

Phone

(865) 471-2500

Fax

(865) 471-2450

NPI assigned

Nov 11, 2005

Organization subpart

No

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

Authorized official

Name

Paula M Lalor

Title

Director/Delegated Official

Phone

(629) 215-3953

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tennova Healthcare-Jefferson Memorial Hospital Doing business as

Locations

Practitioners 2

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

• Justin B. McGoldrick, M.D.

  • Emergency Medicine Physician
  • Jefferson City, TN
  • NPI 1114960101
  NPD (past)
• Julianne Stapleton, RNC MSN

  • Obstetrics & Gynecology Nurse Practitioner
  • Morristown, TN
  • NPI 1235110487
  NPD (past)

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1891776217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL DR",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377605281",
            "telephone_number": "865-471-2500",
            "fax_number": "865-471-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL DR",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377605281",
            "telephone_number": "865-471-2500",
            "fax_number": "865-471-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY HMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TN",
            "license": "0000000038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044U056",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennova Healthcare-Jefferson Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeff City Pharmacist Group LLC Dba MD Pharmacy Store 2
• Jefferson City Operations, LLC
• Jefferson City Senior Center
• Jefferson County EMS
• Jefferson County Hma LLC
• Jefferson Dental
• Jefferson Family Physicians P C
• Jefferson Hearts Consultants
• Jefferson Operator LLC
• Jefferson Pulmonary Group

• Medicare Defined Swing Bed Hospital Unit in Jefferson City, TN
• Providers in Jefferson City, TN by specialty
• 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 Apr 8, 2021; 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.