CLAIBORNE MEDICAL CENTER (NPI# 1386865673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386865673 |
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 | 2007-05-02 |
Last Update Date | 2020-09-11 |
Authorized Official Name | JOHN T GEPPI (EVP/CFO) |
Authorized Official Telephone | 8653746864 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 0000000040 | TN | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 7440036 | 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 |
1154435030 | Claiborne Medical Center | Skilled Nursing Facility | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2006-08-18 |
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 |
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 |
1154435030 | Claiborne Medical Center | Skilled Nursing Facility | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2006-08-18 |
1275578387 | Sunan Vongkasemsiri | Radiology | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2006-06-20 |
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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 |
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Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922493592 | Oaktree Health and Rehabilitation Center, LLC | Nursing Facility/Intermediate Care Facility | 6500 Kirby Gate Cv, Memphis, TN 38119-8203 | 2015-04-01 |
1265779086 | White House Health Care, Inc. | Nursing Facility/Intermediate Care Facility | 2871 Highway 31 W, White House, TN 37188-5226 | 2013-01-14 |
1912289208 | Sonja Teresa Dishman | Nursing Facility/Intermediate Care Facility | 521 Potter Rd, Jamestown, TN 38556-4120 | 2011-09-13 |
1427350123 | At Home Health Services, LLC | Nursing Facility/Intermediate Care Facility | 22 Monument Rd, Suite 100, Summertown, TN 38483-7644 | 2010-12-01 |
1811218324 | Christian Care Center of Rutherford County LLC | Nursing Facility/Intermediate Care Facility | 202 Enon Springs Road East, Smyrna, TN 37167 | 2010-06-18 |
1619296936 | Dr Casey Kim Pllc | Nursing Facility/Intermediate Care Facility | 7902 Eagle Mere Rd, Chattanooga, TN 37421-7315 | 2010-05-26 |
1053556274 | Johnson City Health Property Investors, LLC | Nursing Facility/Intermediate Care Facility | 400 N Boone St, Johnson City, TN 37604-5635 | 2008-12-03 |
1598912537 | Agape Health and Rehabilitation Center, LLC | Nursing Facility/Intermediate Care Facility | 2020 Northpark, Suite 2f, Johnson City, TN 37604-3127 | 2008-08-21 |
1063614113 | Trina Wright | Nursing Facility/Intermediate Care Facility | 265 Margaret Cir, Mc Minnville, TN 37110-6815 | 2007-06-01 |
1841311404 | Ssc Newport Operating Company LLC | Nursing Facility/Intermediate Care Facility | 135 Generation Dr, Newport, TN 37821-8018 | 2007-04-02 |
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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.