HMA FENTRESS COUNTY GENERAL HOSPITAL LLC (NPI# 1053648741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053648741 |
| Entity Type | Organization |
| Organization Name | HMA FENTRESS COUNTY GENERAL HOSPITAL LLC |
| Other Organization Name | TENNOVA HEALTHCARE-JAMESTOWN |
| Practice Address |
436 Central Ave W Jamestown TN 38556-3031 |
| Mailing Address |
Po Box 1500 Jamestown TN 38556-1500 |
| Practice Telephone | 9318798171 |
| Practice Fax Number | 9318794896 |
| Mailing Telephone | 9318798171 |
| Mailing Fax Number | 9318794896 |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2018-03-29 |
| Authorized Official Name | PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | Y |
| Parent Organization Name | HMA FENTRESS COUNTY GENERAL HOSPITAL LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 044S083 | 05 |
| Other Name | Type Code |
|---|---|
| Tennova Healthcare-Jamestown | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093760712 | Hma Fentress County General Hospital LLC | Nurse Anesthetist, Certified Registered | 436 Central Ave W, Jamestown, TN 38556-3031 | 2006-05-23 |
| 1326485384 | Hma Fentress County General Hospital LLC | Medicare Defined Swing Bed Unit | 436 Central Ave W, Jamestown, TN 38556-3031 | 2013-05-31 |
| Street Address |
436 CENTRAL AVE W |
| City | JAMESTOWN |
| State | TN |
| Zip Code | 38556-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093760712 | Hma Fentress County General Hospital LLC | Nurse Anesthetist, Certified Registered | 436 Central Ave W, Jamestown, TN 38556-3031 | 2006-05-23 |
| 1164997441 | Jamestown Tn Medical Center Inc | Psychiatric Unit | 436 Central Ave W, Jamestown, TN 38556-3031 | 2018-10-12 |
| 1952803892 | Jamestown Tn Medical Center Inc | General Acute Care Hospital | 436 Central Ave W, Jamestown, TN 38556-3031 | 2018-03-07 |
| 1356701627 | Botanical Emergency Physicians, LLC | Physician Assistant | 436 Central Ave W, Jamestown, TN 38556-3031 | 2016-03-01 |
| 1891190948 | Gurnard Emergency Physicians LLC | Emergency Medicine | 436 Central Ave W, Jamestown, TN 38556-3031 | 2014-10-31 |
| 1326485384 | Hma Fentress County General Hospital LLC | Medicare Defined Swing Bed Unit | 436 Central Ave W, Jamestown, TN 38556-3031 | 2013-05-31 |
| 1427349877 | Hma Fentress County General Hospital | Internal Medicine | 436 Central Ave W, Jamestown, TN 38556-3031 | 2011-04-20 |
| 1497983803 | Hma Fentress County General Hospital Inc | Nurse Anesthetist, Certified Registered | 436 Central Ave W, Jamestown, TN 38556-3031 | 2009-06-24 |
| 1942480264 | Norma Collins | Pharmacist | 436 Central Ave W, Jamestown, TN 38556-3031 | 2007-11-05 |
| 1629113287 | Michael Omalley Md | Radiology | 436 Central Ave W, Jamestown, TN 38556-3031 | 2007-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992265805 | Misty Dawn Smith | Speech-Language Pathologist | 342 W Central Avenue, Jamestown, TN 38556 | 2019-03-25 |
| 1871024513 | Mountain People's Health Councils, Inc | Dentist | 104 Reagan Ave, Jamestown, TN 38556 | 2017-03-24 |
| 1417388802 | Ashli Westfelt | Occupational Therapist | 1011 Old Lee Hwy 127 S, Jamestown, TN 38556 | 2013-12-10 |
| 1275963753 | Freds Stores of Tennessee Inc. | Pharmacy | 418 A West Central Avenue, Jamestown, TN 38556 | 2013-11-19 |
| 1689009490 | Lorry Gray | Speech-Language Pathologist | 1011 Old Lee Hwy 127, Jamestown, TN 38556 | 2013-09-11 |
| 1215362025 | Sarah Clapp | Speech-Language Pathologist | 1011 Old Lee Hwy 127 S., Jamestown, TN 38556 | 2013-09-11 |
| 1154763134 | Hometown Family Medical Clinic | Nurse Practitioner | 418 B West Central Avenue, Jamestown, TN 38556 | 2013-07-19 |
| 1699049288 | Linda Conatser | Pharmacist | 418a W Central Avenue, Jamestown, TN 38556 | 2012-02-29 |
| 1215239231 | Connie S. Lee | Nurse Practitioner | 418 B West Central Ave, Jamestown, TN 38556 | 2010-11-23 |
| 1437472248 | Lifecare Family Services | Community/Behavioral Health | 1911 Michigan Avenue, Jamestown, TN 38556 | 2010-03-08 |
| Find all providers in zip 38556 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063498889 | Upmc Chautauqua At Wca | Psychiatric Unit | 207 Foote Ave., Inpatient Mental Health Unit, Jamestown, NY 14701-7077 | 2005-12-22 |
| 1164997441 | Jamestown Tn Medical Center Inc | Psychiatric Unit | 436 Central Ave W, Jamestown, TN 38556-3031 | 2018-10-12 |
| 1386725182 | Upmc Chautauqua At Wca | Psychiatric Unit | 207 Foote Ave, Jamestown, NY 14701-7077 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376719419 | Hca Health Services of Tennessee, Inc. | Psychiatric Unit | 391 Wallace Road, Nashville, TN 37211-4851 | 2008-05-07 |
| 1831223635 | Lincoln Medical Center | Psychiatric Unit | 1681 Winchester Hwy, Fayetteville, TN 37334-2758 | 2007-03-15 |
| 1558499483 | Perry Community Hospital, LLC | Psychiatric Unit | 2718 Squirrel Hollow Dr, Linden, TN 37096-3526 | 2007-03-01 |
| 1760405849 | Wellmont Health System | Psychiatric Unit | 1905 American Way, Kingsport, TN 37660-5882 | 2006-07-26 |
| 1821030842 | Vanderbilt University Medical Center | Psychiatric Unit | 500 Park Avenue, Lebanon, TN 37087-3721 | 2006-06-12 |
| 1558319863 | Parkridge Medical Center, Inc. | Psychiatric Unit | 2200 Morris Hill Rd, Chattanooga, TN 37421-2818 | 2006-05-05 |
| 1295792125 | Baptist Memorial Hospital- Lauderdale | Psychiatric Unit | 326 Asbury Ave, Ripley, TN 38063-5577 | 2006-04-26 |
| 1306818265 | State of Tennessee F&a Payroll | Psychiatric Unit | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2006-02-06 |
| 1548241953 | Campbell County Hma, LLC | Psychiatric Unit | 923 E Central Ave, La Follette, TN 37766-2768 | 2005-11-11 |
| 1346854577 | Methodist Healthcare East Hospital | Psychiatric Unit | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
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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.