NPIMap

Organization Active NPI

State of Tennessee

Doing business as Johnson County Health Department

  • Public Health or Welfare Agency
  • Mountain City, TN
National Provider Identifier
1942355722
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
STATE OF TENNESSEE
Doing business as
Johnson County Health Department
Practice address
715 W Main St
Mountain City, TN 37683-1217
Phone
(423) 727-9731
Fax
(423) 727-4153
NPI assigned
Jan 24, 2007
Last updated
Mar 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Ms. Caroline Hurt
Title
County Director
Phone
(423) 727-9731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

715 W Main St
Mountain City, TN 37683-1217

Mailing address

715 W Main St
Mountain City, TN 37683-1217
Phone (423) 727-9731

Other names 1

  • Johnson County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041013001259 TN Part B Supplier - Mass Immunization (Roster Biller Only) 5698687077 This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Bristol Health Center202 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Locations

715 W Main St
Mountain City, TN 37683
Phone (423) 727-9731

201 Park Blvd
Rogersville, TN 37857
Phone (423) 272-7641

178 Willow St
Sneedville, TN 37869
Phone (423) 733-2228

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1942355722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W MAIN ST",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376831217",
            "telephone_number": "423-727-9731",
            "fax_number": "423-727-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W MAIN ST",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376831217",
            "telephone_number": "423-727-9731",
            "fax_number": "423-727-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "HURT",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "COUNTY DIRECTOR",
        "authorized_official_telephone_number": "423-727-9731",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.