NPIMap

Organization Active NPI

Scott County Community Hospital, Inc.

Doing business as Big South Fork Medical Center

  • Critical Access Hospital
  • Oneida, TN
National Provider Identifier
1932646049
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
SCOTT COUNTY COMMUNITY HOSPITAL, INC.
Doing business as
Big South Fork Medical Center
Practice address
18797 Alberta St
Oneida, TN 37841-2127
Phone
(423) 286-5301
Fax
(423) 286-5306
NPI assigned
Jan 26, 2017
Last updated
Aug 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Dr. Hal W Leftwich
Title
Chief Executive Officer
Phone
(423) 286-5307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

18797 Alberta St
Oneida, TN 37841-2127

Mailing address

18797 Alberta St
Oneida, TN 37841-2127
Phone (423) 286-5301

Other names 1

  • Big South Fork Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220208001011 TN Part A Provider - Critical Access Hospital 3375829112 Receives reassigned benefits from 1 practitioner
Practice locations: Oneida, TN
O20230524003609 TN Part A Provider - Critical Access Hospital 3375829112 Receives reassigned benefits from 1 practitioner
Practice locations: Oneida, TN

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1932646049. Details of each certification follow.

Hospital certification: CCN 441323

Legal name
SCOTT COUNTY COMMUNITY HOSPITAL INC
Doing business as
BIG SOUTH FORK MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 30, 2021
Last certification
Dec 21, 2020
Beds
25
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Dec 6, 2016 in TN
Enrollment address
18797 Alberta St
Oneida, TN 37841-2127
Other Hospital Practice Location

Hospital certification: CCN 44Z323

Legal name
SCOTT COUNTY COMMUNITY HOSPITAL INC
Doing business as
BIG SOUTH FORK MEDICAL CENTER
Organization structure
CorporationProprietary
Incorporated
Dec 6, 2016 in TN
Enrollment address
18797 Alberta St
Oneida, TN 37841-2127
Hospital Swing-Bed Unit

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Big South Fork Medical CenterCCN 441323 · All quality measures
Type
Critical Access Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Rennova Health Inc Organization, West Palm Beach, FL Corporation, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jan 13, 2017 100%
Christopher Diamantis Individual 5% Or Greater Direct Ownership Interest Jan 13, 2017
Hal W Leftwich Individual W-2 Managing EmployeeCeo Aug 6, 2018
Cathal McGuckin Individual W-2 Managing EmployeeAd; Sep 16, 2025 100%

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

Affiliated clinicians 43

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1932646049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18797 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378412127",
            "telephone_number": "423-286-5301",
            "fax_number": "423-286-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18797 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378412127",
            "telephone_number": "423-286-5301",
            "fax_number": "423-286-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT COUNTY COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "LEFTWICH",
        "authorized_official_first_name": "HAL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "423-286-5307",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big South Fork Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oneida, TN

Sources for this page

Verify at the official NPI Registry.