MACON HOSPITAL, INC. (NPI# 1033200852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033200852 |
| Entity Type | Organization |
| Organization Name | MACON HOSPITAL, INC. |
| Practice Address |
204 Medical Dr Lafayette TN 37083-1719 |
| Mailing Address |
204 Medical Dr P O Box 378 Lafayette TN 37083-1719 |
| Practice Telephone | 6156667927 |
| Practice Fax Number | 6156667052 |
| Mailing Telephone | 6156667927 |
| Mailing Fax Number | 6156667052 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2010-11-19 |
| Authorized Official Name | MR. THOMAS J KIDD (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6156662147 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 0000000080 | TN | Hospital Units |
| Street Address |
204 MEDICAL DR |
| City | LAFAYETTE |
| State | TN |
| Zip Code | 37083-1719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902858137 | Emcare Physician Providers, Inc. | Emergency Medicine | 204 Medical Dr, Lafayette, TN 37083-1719 | 2006-05-16 |
| 1669094918 | Elijah Carter | Registered Nurse | 204 Medical Dr, Lafayette, TN 37083-1719 | 2020-05-09 |
| 1639673965 | Advanced Diagnostic Imaging PC | Prosthetic/Orthotic Supplier | 204 Medical Dr, Lafayette, TN 37083-1719 | 2018-03-21 |
| 1811360522 | Botanical Emergency Physicians, LLC | Physician Assistant | 204 Medical Dr, Lafayette, TN 37083-1719 | 2015-11-03 |
| 1851694038 | Restorative Health Services, Inc. | Prosthetic/Orthotic Supplier | 204 Medical Dr, Speciality Clinic, Lafayette, TN 37083-1719 | 2010-12-10 |
| 1376718684 | Janet M Skelton | Dietitian, Registered | 204 Medical Dr, Lafayette, TN 37083-1719 | 2008-04-28 |
| 1790835601 | Elizabeth A Walker | Dietitian, Registered | 204 Medical Dr, Lafayette, TN 37083-1719 | 2007-01-11 |
| 1346264975 | Sycamore Emergency Physicians LLC | Emergency Medicine | 204 Medical Dr, Lafayette, TN 37083-1719 | 2006-07-27 |
| 1275552226 | Macon County General Hospital - Anesthesia | Nurse Anesthetist, Certified Registered | 204 Medical Dr, Lafayette, TN 37083-1719 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467995613 | Osarugue Grace Richards | Nurse Practitioner | 209 College Street, Lafayette, TN 37083 | 2016-11-21 |
| 1619332202 | Lindsey Carr | Licensed Practical Nurse | 601 Highway 52 By Pass East, Lafayette, TN 37083 | 2015-12-23 |
| 1275888992 | Jamii Johnson | Family Medicine | 200 Highway 52 Byp E Ste D, Lafayette, TN 37083 | 2012-07-18 |
| 1740572767 | John Steven Conger | Pharmacist | 320 Hwy 52 Bypass W, Rite Aid Pharmacy, Lafayette, TN 37083 | 2011-05-10 |
| 1871719294 | Kathryn Ann Fitzgerald | Pharmacist | 320 Hwy 52 Bypass West, Lafayette, TN 37083 | 2007-04-17 |
| 1770619777 | Brande Nicole Pharris | Registered Nurse | 601 Hwy Bypass 52, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
| 1528194529 | Kelly Renae Ritter | Nurse's Aide | 601 Hwy 52 Bypass East, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
| 1942336946 | Tammy Michelle Driver | Registered Nurse | 601 Highway 52 Bypass East, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
| 1144395948 | Larry C Key | Dentist | 726 Hwy 52 By Pass W, Lafayette, TN 37083 | 2006-11-21 |
| 1689745069 | Family Care Center LLC | Family Medicine | 207 West Locust Street, Lafayette, TN 37083 | 2006-11-10 |
| Find all providers in zip 37083 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134655731 | West Tennessee Rehabilitation Hospital, LLC | Medicare Defined Swing Bed Unit | 180 Mount Pelia Road, Martin, TN 38237 | 2017-05-03 |
| 1073622007 | Chattanooga Hamilton County Hospital Authority | Medicare Defined Swing Bed Unit | 71 Wheelertown Avenue, Pikeville, TN 37367 | 2006-08-30 |
| 1598734352 | Rebound LLC | Medicare Defined Swing Bed Unit | 190 Mount Pelia Rd, Martin, TN 38237-3812 | 2006-03-15 |
| 1821060930 | Martin Health | Medicare Defined Swing Bed Unit | 161 Mount Pelia Rd, Martin, TN 38237-3811 | 2006-02-02 |
| 1518957950 | Bolivar General Hospital, Inc. | Medicare Defined Swing Bed Unit | 650 Nuckolls Rd, Bolivar, TN 38008-1532 | 2005-10-26 |
| 1952900920 | Vanderbilt Bedford Hospital, LLC | Medicare Defined Swing Bed Unit | 2835 Highway 231 N, Shelbyville, TN 37160-7327 | 2020-10-21 |
| 1750904041 | Tullahoma Hma LLC | Medicare Defined Swing Bed Unit | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2020-05-21 |
| 1427671718 | Clarksville Health System Gp | Medicare Defined Swing Bed Unit | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2020-05-21 |
| 1518580893 | Cleveland Tennessee Hospital Company LLC | Medicare Defined Swing Bed Unit | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2020-05-21 |
| 1417570961 | Metro Knoxville Hma LLC | Medicare Defined Swing Bed Unit | 7565 Dannaher Dr, Powell, TN 37849-4029 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.