CLAIBORNE MEDICAL CENTER (NPI# 1154435030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154435030 |
| Entity Type | Organization |
| Organization Name | CLAIBORNE MEDICAL CENTER |
| Other Organization Name | CLAIBORNE COUNTY NURSING HOME |
| Practice Address |
1850 Old Knoxville Rd Tazewell TN 37879-3625 |
| Mailing Address |
1420 Centerpoint Blvd Bldg C Knoxville TN 37932-1960 |
| Practice Telephone | 4236264211 |
| Practice Fax Number | 4236269926 |
| Mailing Telephone | 8653746864 |
| Mailing Fax Number | 8653746926 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | MR. JOHN T GEPPI (EVP/CFO) |
| Authorized Official Telephone | 8653746864 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0000000040 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0445071 | 05 |
| Other Name | Type Code |
|---|---|
| Claiborne County Nursing Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205166 | Claiborne Medical Center | General Acute Care Hospital | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2005-06-15 |
| 1386865673 | Claiborne Medical Center | Nursing Facility/Intermediate Care Facility | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2007-05-02 |
| Street Address |
1850 OLD KNOXVILLE RD |
| City | TAZEWELL |
| State | TN |
| Zip Code | 37879-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205166 | Claiborne Medical Center | General Acute Care Hospital | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2005-06-15 |
| 1528459682 | Bruce Edward Saylor | Nurse Practitioner | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2015-02-11 |
| 1144528894 | Marcie L Bledsoe | Nurse Anesthetist, Certified Registered | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2011-03-04 |
| 1700010816 | Matthew A Brayton | Nurse Practitioner | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2009-05-05 |
| 1023251923 | Claiborne County Hospital Claiborne County Ambulance | General Acute Care Hospital | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2009-04-08 |
| 1386865673 | Claiborne Medical Center | Nursing Facility/Intermediate Care Facility | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2007-05-02 |
| 1003936881 | Kathy Payne Kelley | Pharmacist | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2007-03-29 |
| 1477698587 | Claiborne County Hospital Pharmacy | General Acute Care Hospital | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2007-02-20 |
| 1568519049 | Tennessee Cancer Specialists Pllc | Internal Medicine | 1850 Old Knoxville Rd, Claiborne County Hospital, Tazewell, TN 37879-3625 | 2007-01-05 |
| 1275578387 | Sunan Vongkasemsiri | Radiology | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2006-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689174211 | Heather Hunley | Nurse Practitioner | 951 N. Broad St, Tazewell Express Care, Tazewell, TN 37879 | 2018-02-20 |
| 1225540495 | Amy Howe | Nurse Practitioner | 1582 N Broad St Ste 2, Tazewell, TN 37879 | 2017-10-28 |
| 1497063903 | Minton Family Dental Care | Dentist | 210 Cedar Fork Rd., Tazewell, TN 37879 | 2010-09-17 |
| 1528259470 | Foster Chiropractic, P.C. | Chiropractor | 2255 Hwy 25e, Suite 2, Tazwell, TN 37879 | 2007-08-06 |
| 1811075088 | Rondal Keith Brock | Physician Assistant | Tazewell Medical Clinic 1442 North Broad Street, Suite 7, Tazewell, TN 37879 | 2006-11-02 |
| 1922185644 | Tri State Sports Medicine and Rehabilitation Inc | Physical Therapist | 2255 Highway 25e Ste 4, Tazewell, TN 37879 | 2006-11-01 |
| 1407932387 | La Wanna Wallen Brock | Nurse Practitioner | 1442 North Broad Street, Suite 7, Tazewell, TN 37879 | 2006-10-31 |
| 1952493462 | Home Town Pharmacy Inc. | Pharmacy | 1410 N. Broadstreet, Tazewell, TN 37879 | 2006-09-29 |
| 1700892429 | Trail of The Cumberlands Anesthesia Associates | Nurse Anesthetist, Certified Registered | 1850 Old Knoxville Hwy, Claiborne County Hospital, Tazewell, TN 37879 | 2006-08-01 |
| 1598718587 | Rosemary Kay Hall | Chiropractor | 1450 Broad St, Suite 1, Tazewell, TN 37879 | 2006-05-18 |
| Find all providers in zip 37879 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538159926 | Tazewell Life Care, LLC | Skilled Nursing Facility | 282 Ben Bolt Ave, Tazewell, VA 24651 | 2005-10-26 |
| 1154813228 | Tazewell Life Care, LLC | Skilled Nursing Facility | 282 Ben Bolt Ave, Tazewell, VA 24651-5384 | 2018-06-04 |
| 1457690794 | Patricia Ann Wilburn | Skilled Nursing Facility | 121 Ben Bolt Ave, Tazewell, VA 24651-9703 | 2013-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093343535 | Marie Carmelle Noel | Skilled Nursing Facility | 800 Sadie Ann Ct, Smyrna, TN 37167-3445 | 2020-03-30 |
| 1396308508 | Decatur Operating Group LLC | Skilled Nursing Facility | 332 River Rd, Decatur, TN 37322-7800 | 2019-04-15 |
| 1760940613 | Marble City Medical LLC | Skilled Nursing Facility | 7500 Dodson Rd, Knoxville, TN 37920-9734 | 2019-03-11 |
| 1083132641 | Decatur Healthcare, LLC | Skilled Nursing Facility | 322 River Road, Decatur, TN 38322 | 2017-09-05 |
| 1285155705 | Stones River Manor, Inc. | Skilled Nursing Facility | 205 Haynes Dr, Murfreesboro, TN 37129-5101 | 2017-07-06 |
| 1821538562 | Red Bank Operations, LLC | Skilled Nursing Facility | 1020 Runyan Drive, Chattanooga, TN 37405 | 2017-02-28 |
| 1316482458 | East Ridge Snf Operations, LLC | Skilled Nursing Facility | 1502 Mcdonald Rd., East Ridge, TN 37412 | 2016-12-28 |
| 1639625254 | Emerald Spring Hill, Inc. | Skilled Nursing Facility | 2000 Reserve Boulevard, Spring Hill, TN 37174-2370 | 2016-09-01 |
| 1245786482 | Nhc-maury Regional Transitional Care Center LLC | Skilled Nursing Facility | 5010 Trotwood Ave, Columbia, TN 38401-4903 | 2016-08-28 |
| 1457805186 | Barton Blazer Smith | Skilled Nursing Facility | 210 Busbee Rd, Knoxville, TN 37920-5104 | 2016-08-11 |
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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.