VA MEDICAL CENTER MOUNTAIN HOME, TN (NPI# 1427201813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427201813 |
| Entity Type | Organization |
| Organization Name | VA MEDICAL CENTER MOUNTAIN HOME, TN |
| Practice Address |
1st Street Bldg 204 James H. Quillen Va Medical Center Emergency Dept Johnson City TN 37684-4000 |
| Mailing Address |
1st Street, Bldg 204 James H. Quillen Va Medical Center Emergency Dept Johnson City TN 37684 |
| Practice Telephone | 4239261171 |
| Mailing Telephone | 4239261171 |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |
| Authorized Official Name | MR. JOHN FRANK TESTERMAN III (PHYSICAN ASSISTANT) |
| Authorized Official Telephone | 4239261171 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | TNPA036 | TN | Hospitals |
| Street Address |
1ST STREET BLDG 204 JAMES H. QUILLEN VA MEDICAL CENTER EMERGENCY DEPT |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37684-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730524 | Kendra Lee Thorne | Psychologist | Corner of Lamont St and Veterans Way, Building 160, Mountain Home, TN 37684 | 2020-11-04 |
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1699393256 | Joshua Thomas Spencer | Pharmacist | Veterans Way and Lamont St, Mountain Home, TN 37684 | 2020-07-10 |
| 1073140265 | James Hankil Kim | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-03-26 |
| 1932736030 | Trishna Sharma | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive Mountain Home, Johnson City, TN 37684 | 2020-03-26 |
| 1508421884 | Sarvatit Patel | Student in an Organized Health Care Education/Training Program | 52 Lake Dr, Mountain Home, TN 37684 | 2019-05-02 |
| 1902366024 | Katelyn Cserjes | Student in an Organized Health Care Education/Training Program | Building 52 Lake Drive Va Medical Center, Mountain Home, TN 37684 | 2019-03-24 |
| 1114404282 | Anesa Ellen Hughes | Pharmacist | Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 | 2018-07-23 |
| 1508352287 | Leon Nguyen | Optometrist | James H. Quillen Vamc - Lamont St & Veterans Way, Eye Clinic 112e, Mountain Home, TN 37684 | 2018-07-06 |
| 1649761750 | Bahaaeldin Ibrahim Mahmoud Youssef | Student in an Organized Health Care Education/Training Program | Va Building 1 Carl A Jones Hall, Dogwood Avenue, Mountain Home, TN 37684 | 2018-05-24 |
| Find all providers in zip 37684 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982779310 | Dr Charles J Badger II, General Practioner, PC | General Acute Care Hospital | 156 Corliss Ave Apt 708, Johnson City, NY 13790-2071 | 2006-11-21 |
| 1114033628 | Mountain States Health Alliance | General Acute Care Hospital | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 | 2006-08-21 |
| 1194267765 | Brett Lane Reece | General Acute Care Hospital | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 | 2016-11-13 |
| 1144605346 | Johnson City Medical Center | General Acute Care Hospital | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2015-07-29 |
| 1093943565 | United Health Services Hospital | General Acute Care Hospital | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2009-06-23 |
| 1992869556 | Mountain States Health Alliance Indian Path Medical Center | General Acute Care Hospital | 400 N State of Franklin Rd, Managed Care Administration, Johnson City, TN 37604-6035 | 2006-12-20 |
| 1366506925 | Mountain States Health Alliance Sycamore Shoals Hospital | General Acute Care Hospital | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2006-12-20 |
| 1184788945 | Mountain States Health Alliance Indian Path Medical Center | General Acute Care Hospital | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2006-12-19 |
| 1023129376 | Mountain States Health Alliance | General Acute Care Hospital | 203 E Watauga Ave, Johnson City, TN 37601-4629 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174033906 | Behavioral Health of Rocky Top, LLC | General Acute Care Hospital | 210 Industrial Park Dr, Rocky Top, TN 37769-2301 | 2017-10-06 |
| 1104290667 | Michelle Mcconnell Spradley | General Acute Care Hospital | 5006 Dell Dr, Mount Juliet, TN 37122-4157 | 2015-11-20 |
| 1215301981 | Cheryl Hall Wideman | General Acute Care Hospital | 3721 Russell Hurst Dr E, Bartlett, TN 38135-1965 | 2015-11-18 |
| 1104206135 | Vanderbilt University | General Acute Care Hospital | 62 Parks Ln, Fayetteville, TN 37334-6642 | 2015-06-04 |
| 1306247515 | Fort Sanders Regional Medical Center | General Acute Care Hospital | 614 Emory Oak Ct, Knoxville, TN 37909-3439 | 2014-09-07 |
| 1740609130 | Select Specialty | General Acute Care Hospital | 2000 Hayes St Ste 1502, Nashville, TN 37203-2318 | 2014-04-14 |
| 1710301320 | Veronica Blackman | General Acute Care Hospital | 447 Shelley Renee Ln, Cordova, TN 38018-4310 | 2014-02-18 |
| 1962826107 | Hoke Steven Fitzgerald | General Acute Care Hospital | 1073 Smithfield Rd, Tellico Plains, TN 37385-6137 | 2014-02-07 |
| 1336560598 | Vanderbilt University Medical Center | General Acute Care Hospital | 607 Medical Arts Building, 1121 21st Avenue South, Nashville, TN 37232-1320 | 2013-12-13 |
| 1710314554 | Centennial | General Acute Care Hospital | 552 Metroplex Dr, Nashville, TN 37211-3133 | 2013-10-10 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37684 |
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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.