NPIMap

Organization Active NPI

Claiborne Medical Center

  • General Acute Care Hospital
  • Tazewell, TN
National Provider Identifier
1942205166
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0000000014 Issued in TN
Legal business name
CLAIBORNE MEDICAL CENTER
Practice address
1850 Old Knoxville Rd
Tazewell, TN 37879-3625
Phone
(423) 626-4211
Fax
(423) 626-9926
NPI assigned
Jun 15, 2005
Last updated
May 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Robert Boos
Title
SVP Revenue Cycle
Phone
(865) 374-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0000000014 TN Primary

Addresses

Primary practice location

1850 Old Knoxville Rd
Tazewell, TN 37879-3625

Mailing address

1420 Centerpoint Blvd BLDG C
Knoxville, TN 37932-1960
Phone (865) 374-6864

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address claibornemedicalcenter@yourcarecommunity.org

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140624000673 TN Part A Provider - Hospital 5395969828 Practice locations: Tazewell, TN
O20250725000574 TN Part B Supplier - Intensive Cardiac Rehabilitation 5395969828 Practice locations: Tazewell, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942205166. Details of each certification follow.

Hospital certification: CCN 440057

Legal name
CLAIBORNE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 25, 2001
Beds
85
Ownership / control type
Local
Most recent change of ownership
Apr 1, 2014 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Oct 25, 2013 in TN
Enrollment address
1850 Old Knoxville Road
Tazewell, TN 37879-3625
Main/Primary Hospital Location
Hospital subgroups
Acute care

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
Claiborne Medical CenterCCN 440057 · All quality measures
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Claiborne Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1420 Centerpoint Blvd
Knoxville, TN 37932
Phone (865) 374-5200

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Amy Delong Individual Corporate OfficerVice President/Controller Mar 4, 2024 100%
Covenant Health Organization, Knoxville, TN 5% Or Greater Direct Ownership Interest Apr 1, 2014 100%
Joseph Christopher Dolan Individual Corporate OfficerCovenant Health Cfo/Evp Jul 31, 2023 100%
Amy Herndon Individual Corporate OfficerCfo Aug 2, 2024 100%
W-2 Managing EmployeeCfo Aug 2, 2024 100%
Rick Carringer Individual Corporate OfficerVice President Jan 1, 2024 100%
James Vandersteeg Individual Corporate OfficerCeo/President of Covenant Health Apr 1, 2016 100%
Gordon Lintz Individual Corporate OfficerCao Aug 2, 2024 100%
W-2 Managing EmployeeCao Aug 2, 2024 100%

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 124

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

View all 124

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1942205166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 CENTERPOINT BLVD BLDG C",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321960",
            "telephone_number": "865-374-6864",
            "fax_number": "865-374-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 OLD KNOXVILLE RD",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793625",
            "telephone_number": "423-626-4211",
            "fax_number": "423-626-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIBORNE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "BOOS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SVP REVENUE CYCLE",
        "authorized_official_telephone_number": "865-374-3000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "0000000014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "claibornemedicalcenter@yourcarecommunity.org",
            "affiliation": "N",
            "address_1": "1850 Old Knoxville Rd",
            "city": "Tazewell",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378793625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tazewell, TN

Sources for this page

Verify at the official NPI Registry.