MACON COUNTY GENERAL HOSPITAL, INC. (NPI# 1417938846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417938846 |
Entity Type | Organization |
Organization Name | MACON COUNTY GENERAL HOSPITAL, INC. |
Practice Address |
204 Medical Drive Lafayette TN 37083-9999 |
Mailing Address |
P O Box 378 204 Medical Drive Lafayette TN 37083-9999 |
Practice Telephone | 6156662147 |
Practice Fax Number | 6156667052 |
Mailing Telephone | 6156662147 |
Mailing Fax Number | 6156667052 |
Enumeration Date | 2005-11-11 |
Last Update Date | 2011-03-01 |
Authorized Official Name | MR. THOMAS J KIDD (CFO) |
Authorized Official Telephone | 6156662147 |
Authorized Official Credential | CPA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
0000000080 | TN | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 0441305 | 05 | |
TN | BLUE CROSS | 1000176 | 01 |
Street Address |
204 MEDICAL DRIVE |
City | LAFAYETTE |
State | TN |
Zip Code | 37083-9999 |
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 | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861763963 | Sonja Renee Gregory | General Acute Care Hospital | 1208b Scottsville Rd, Lafayette, TN 37083-2231 | 2012-01-20 |
1598766495 | Our Lady of Lourdes Regional Medical Center,inc | General Acute Care Hospital | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2005-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720036841 | Trinity Hospital LLC | General Acute Care Hospital | 5001 E Main St, Erin, TN 37061-4115 | 2006-05-04 |
1659347920 | Camden General Hospital, Inc. | General Acute Care Hospital | 175 Hospital Dr, Camden, TN 38320-1617 | 2006-02-27 |
1750363115 | Copper Basin Community Hospital Inc | General Acute Care Hospital | 144 Medical Center Drive, Copperhill, TN 37317 | 2005-11-18 |
1811987084 | Rhea Medical Center | General Acute Care Hospital | 9400 Rhea County Hwy, Dayton, TN 37321-7922 | 2005-10-27 |
1376175687 | Lauderdale Community Hospital LLC | General Acute Care Hospital | 326 Asbury Ave, Ripley, TN 38063-5577 | 2020-02-05 |
1104472372 | Rural Hospitals and Clinics of America, Inc | General Acute Care Hospital | 100 Old Jefferson St, Celina, TN 38551-4040 | 2019-08-14 |
1962981878 | Houston County Community Hospital | General Acute Care Hospital | 5001 E Main St, Erin, TN 37061-4115 | 2018-08-10 |
1851759526 | Community Pharmacy | General Acute Care Hospital | 1818 Albion St, Nashville, TN 37208-2918 | 2016-02-09 |
1952720021 | Heather Lillemoe | General Acute Care Hospital | 1161 21st Ave S, Ccc-4312 Mcn, Nashville, TN 37232-2730 | 2014-04-15 |
1275950974 | Pioneer Health Services of Oneida, LLC | General Acute Care Hospital | 18797 Alberta St, Oneida, TN 37841-2127 | 2014-03-20 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MACON COUNTY GENERAL HOSPITAL, INC..
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.