JAMES H. QUILLEN VA MEDICAL CENTER (NPI# 1225187669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225187669 |
| Entity Type | Organization |
| Organization Name | JAMES H. QUILLEN VA MEDICAL CENTER |
| Other Organization Name | MOUNTAIN HOME |
| Practice Address |
415 S Main Ave Erwin TN 37650-1119 |
| Mailing Address |
415 S Main Ave Po Box 281 Erwin TN 37650-1119 |
| Practice Telephone | 4237439058 |
| Mailing Telephone | 4237439058 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | MS. ELIZABETH ANN WOODS (REGISTERED NURSE) |
| Authorized Official Telephone | 4239261171 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 281P00000X | Chronic Disease Hospital | RN0000087275 | TN | Hospitals |
| Other Name | Type Code |
|---|---|
| Mountain Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447578786 | James H. Quillen Va Medical Center | Military Hospital | 2755 Babbs Mill Rd, Afton, TN 37616-4254 | 2010-05-11 |
| 1386673283 | James H. Quillen Va Medical Center | General Acute Care Hospital | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Moutain Home, TN 37684 | 2006-07-02 |
| Street Address |
415 S MAIN AVE |
| City | ERWIN |
| State | TN |
| Zip Code | 37650-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725706 | Edwards Premier Healthcare LLC | Family Medicine | 1201 North Main Avenue, Erwin, TN 37650 | 2019-11-25 |
| 1235792953 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 110 N. Industrial Drive, Erwin, TN 37650 | 2019-04-18 |
| 1114111622 | Tara Beth Coumoundouros | Pharmacist | 1252 N Main St, Erwin, TN 37650 | 2007-08-29 |
| 1679695779 | David Joe Walters | Chiropractor | 226 Love Street, Erwin, TN 37650 | 2007-04-06 |
| 1437218385 | Deandria Marie Bogart | Registered Nurse | 101okolona Drive, Erwin, TN 37650 | 2006-12-06 |
| 1881768281 | James Alexander Bowden | Emergency Medicine | 2030 Temple Hill Rd, Erwin, TN 37650 | 2006-11-17 |
| 1720161409 | Charlotte Freeman Shores | Case Manager/Care Coordinator | 218 N Main Street, Erwin, TN 37650 | 2006-10-24 |
| 1407940067 | Unicoi County Family Practice | Clinic/Center | 108 Gay Street, Erwin, TN 37650 | 2006-10-03 |
| 1972607653 | Celeste Carol Taylor | Counselor | 218 N Main, Erwin Mh Center, Erwin, TN 37650 | 2006-09-12 |
| 1972607679 | Rita Jean Richardson | Counselor | 218 N Main Ave, Erwin, TN 37650 | 2006-09-12 |
| Find all providers in zip 37650 | ||||
| Taxonomy Code | 281P00000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. |
| Notes: Source: (1) Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821207911 | Dyersburg Kidney Clinic, Inc | Chronic Disease Hospital | 16 Murray Guard Drive, Jackson, TN 38305 | 2007-05-22 |
| 1518186782 | University of Tennesse, Memphis | Chronic Disease Hospital | 165 River Bridge Ln Apt 201, Memphis, TN 38103-7905 | 2007-04-25 |
| 1184840373 | U. of Tennessee Gme | Chronic Disease Hospital | 920 Madison Ave Ste C50, Ut College of Medicine, Memphis, TN 38103-3493 | 2007-04-17 |
| 1124121017 | Donna Gail Burns | Chronic Disease Hospital | 1310 24th Avenue, South, Veterans Administeration Medical Center (vamc), Nashville, TN 37212 | 2006-09-06 |
| 1134590763 | Univ. Tn Health Science Center | Chronic Disease Hospital | 62 S Dunlap St, Memphis, TN 38103-4903 | 2015-10-08 |
| 1649434382 | Us Department of Veteran Affairs | Chronic Disease Hospital | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2008-07-11 |
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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.