Claiborne Medical Center
Organization Active NPI General Acute Care Hospital · Tazewell, TN
NPI 1942205166 · NPPES record last updated May 13, 2026
Key facts
- NPI
- 1942205166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 0000000014 (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
- Organization subpart
- No
Authorized official
- Name
- Robert Boos
- Title
- SVP Revenue Cycle
- Phone
- (865) 374-3000
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Facilities with the same owner 14
Practitioners 1
-
Robert J Wilmoth, MD
Affiliated clinicians 124
-
Kyle G Achors, M.D.
-
Michial A Adkins, CRNA
-
Mohammed I Ahmed, M.D.
-
Shahin Assadnia, M.D.
-
Sarah Lee Barnard, PA-C
-
Neil Gordon Barry IV, D.O., MBA
-
Pamela Deann Bays, FNP
-
Antonio Luis Betanzos, M.D.
-
Christopher Douglas Bonn, D.O.
-
Srinivas Boppana, MD
-
Gerald Scott Borrelli, M.D.
-
Amanda G Brown, FNP
-
Gary W. Brown Jr., NP-C
-
Jeffrey I Brown, MD
-
Amy Jo Bussell, APRN
-
Opal Louise Caldwell, FNP
-
Autumn M Champion, FNP
-
Fahd A Chaudhry, MD
-
Jessica R Chittum, FNP-BC
-
Laura Nash Cloar, MSN, RN, FNP-BC
-
Emily Nichole Clotfelter, PA-C
-
Bobbi R Coley, PA
-
Brianna Cooke, FNP-C
Medicare Care Compare: Hospital
- Listed as
- Claiborne Medical Center
- Type
- Acute Care Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN
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
- Corporation · Non-profit
- Incorporated
- Oct 25, 2013 in TN
- Enrollment address
- 1850 Old Knoxville Road
Tazewell, TN 37879-3625 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Amy Delong |
Corporate Officer |
Mar 4, 2024 | 100% |
| Covenant Health |
5% Or Greater Direct Ownership Interest | Apr 1, 2014 | 100% |
| Joseph Christopher Dolan |
Corporate Officer |
Jul 31, 2023 | 100% |
| Amy Herndon |
Corporate Officer |
Aug 2, 2024 | 100% |
| W-2 Managing Employee |
Aug 2, 2024 | 100% | |
| Rick Carringer |
Corporate Officer |
Jan 1, 2024 | 100% |
| James Vandersteeg |
Corporate Officer |
Apr 1, 2016 | 100% |
| Gordon Lintz |
Corporate Officer |
Aug 2, 2024 | 100% |
| W-2 Managing Employee |
Aug 2, 2024 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140624000673 | TN | Part a Provider - Hospital | 5395969828 | Practice locations: Tazewell, TN |
| O20250725000574 | TN | Part B Supplier - Intensive Cardiac Rehabilitation | 5395969828 | Practice locations: Tazewell, TN |
National Provider Directory
- Tax ID family
- Claiborne Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 0000000014 | TN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0440057 | Medicaid | TN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | claibornemedicalcenter@yourcarecommunity.org |
Other providers in Tazewell, TN
- Claiborne County Hospital Pharmacy
- Claiborne EMS LLC
- Claiborne Health & Wellness Inc.
- Claiborne Medical Center
- Claiborne Medical Center
- Nan Stanifer Cole
- Katie Bundren Combs
- Comprehensive Home Healthcare Services LLC
- Compwhiz International LLC Dba St. Luke'S Therapy Services
- Elizabeth Renee Crocker
All providers in Tazewell, TN · General Acute Care Hospital in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.