Active NPI
Tullahoma Hma LLC
- General Acute Care Hospital
- Tullahoma, TN
National Provider Identifier
1922052869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 18
- Legal business name
- TULLAHOMA HMA LLC
- Practice address
- 1801 N Jackson St
Tullahoma, TN 37388-2201 - Phone
- (931) 393-7901
- NPI assigned
- May 22, 2006
- Organization subpart
- No
NPPES NPI Registry
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
- (615) 925-4565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 18 | TN | Primary |
Addresses
Primary practice location
1801 N Jackson St
Tullahoma, TN 37388-2201
Mailing address
1801 N Jackson St
Tullahoma, TN 37388-2201
Phone (931) 393-7901
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4069340 | Other | TN | BLUE CROSS |
| 4069340 | Medicaid | TN |
Other names 1
- Tennova Healthcare-Harton
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503360000000",
"number": "1922052869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 N JACKSON ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373882201",
"telephone_number": "931-393-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 N JACKSON ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373882201",
"telephone_number": "931-393-7901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TULLAHOMA HMA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2017-08-22",
"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": "615-925-4565"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "TN",
"license": "18",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4069340",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4069340",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tennova Healthcare-Harton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.