CANNON COUNTY HOSPITAL, LLC (NPI# 1528165057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528165057 |
| Entity Type | Organization |
| Organization Name | CANNON COUNTY HOSPITAL, LLC |
| Other Organization Name | DEKLAB COMMUNITY HOSPITAL |
| Practice Address |
520 W Main St Smithville TN 37166-1138 |
| Mailing Address |
520 W Main St P.o. Box 640 Smithville TN 37166-1138 |
| Practice Telephone | 6152155300 |
| Practice Fax Number | 6152155600 |
| Mailing Telephone | 6152155300 |
| Mailing Fax Number | 6152155600 |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JESSE D BAKER (CONTROLLER) |
| Authorized Official Telephone | 6152155354 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | TN | Hospital Units |
| Other Name | Type Code |
|---|---|
| Deklab Community Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962569103 | Cannon County Hospital, LLC | Psychiatric Unit | 324 Doolittle Rd, Woodbury, TN 37190-1139 | 2007-01-03 |
| 1700983236 | Cannon County Hospital, LLC | General Acute Care Hospital | 520 W Main St, P.o. 640, Smithville, TN 37166-1138 | 2006-09-19 |
| Street Address |
520 W MAIN ST |
| City | SMITHVILLE |
| State | TN |
| Zip Code | 37166-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487135026 | Melody Anderson | Nurse Practitioner | 520 W Main St, Smithville, TN 37166-1138 | 2018-08-22 |
| 1124520283 | Donna Irene Lawson | Physical Therapy Assistant | 520 W Main St, Smithville, TN 37166-1138 | 2018-03-05 |
| 1790134690 | Webb Anesthesia Services, Pllc | Nurse Anesthetist, Certified Registered | 520 W Main St, Smithville, TN 37166-1138 | 2016-06-10 |
| 1912370628 | Botanical Emergency Physicians, LLC | Physician Assistant | 520 W Main St, Smithville, TN 37166-1138 | 2015-11-03 |
| 1740661305 | Saint Thomas Dekalb Hospital, LLC | Medicare Defined Swing Bed Unit | 520 W Main St, Smithville, TN 37166-1138 | 2015-06-09 |
| 1649659582 | Saint Thomas Dekalb Hospital, LLC | General Acute Care Hospital | 520 W Main St, Smithville, TN 37166-1138 | 2015-05-26 |
| 1386083327 | Avarie Elizabeth Maynard | Physical Therapy Assistant | 520 W Main St, Smithville, TN 37166-1138 | 2013-06-24 |
| 1831494665 | Center Hill Emergency Physicians LLC | Emergency Medicine | 520 W Main St, Smithville, TN 37166-1138 | 2011-01-26 |
| 1942489067 | Cannon County Hospital LLC | Pharmacy | 520 W Main St, Smithville, TN 37166-1138 | 2007-10-25 |
| 1295807410 | Charles Auer | Emergency Medicine | 520 W Main St, Dekalb Community Hospital Emergency Dept., Smithville, TN 37166-1138 | 2006-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588263420 | Results-ast Jv, LLC | Physical Therapist | 527 West Main Street, Smithville, TN 37166 | 2020-10-21 |
| 1205056579 | Daniel Jefferson Barnes | Dentist | 407 South Mt Street, Smithville, TN 37166 | 2007-04-27 |
| 1285762310 | Linda L Allison | Physical Therapy Assistant | 825 Fisher, Nhc, Smithville, TN 37166 | 2007-03-01 |
| 1467538652 | James C Wall Jr. | General Practice | 518c West Main St, Smithville, TN 37166 | 2006-10-31 |
| 1295844413 | Caldwells Drug Store Inc | Pharmacy | 511 W Main St, Smithville, TN 37166 | 2006-08-30 |
| 1619086865 | Ivan Lynn Caldwell | Pharmacist | 511 West Main Street, Smithville, TN 37166 | 2006-08-30 |
| 1659329670 | Robert R Atnip | Chiropractor | 205 S Fourth Street, Smithville, TN 37166 | 2006-05-04 |
| 1154727196 | Natalie Whorton | Counselor | 301 W Main St, Smithville, TN 37166 | 2014-11-18 |
| 1376873521 | Good Health Family Clinic, Inc | Nurse Practitioner | 414 E Broad St, Suite C, Smithville, TN 37166 | 2010-01-11 |
| 1396923199 | Timothy D Tobitt | Nurse Practitioner | 414 E Broad St, Good Health Fmaily Clinic, Inc., Smithville, TN 37166 | 2008-02-04 |
| Find all providers in zip 37166 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740661305 | Saint Thomas Dekalb Hospital, LLC | Medicare Defined Swing Bed Unit | 520 W Main St, Smithville, TN 37166-1138 | 2015-06-09 |
| 1306876669 | Cannonb County Hospital, LLC | Medicare Defined Swing Bed Unit | 520 W Main St, Smithville, TN 37166-1138 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134655731 | West Tennessee Rehabilitation Hospital, LLC | Medicare Defined Swing Bed Unit | 180 Mount Pelia Road, Martin, TN 38237 | 2017-05-03 |
| 1073622007 | Chattanooga Hamilton County Hospital Authority | Medicare Defined Swing Bed Unit | 71 Wheelertown Avenue, Pikeville, TN 37367 | 2006-08-30 |
| 1598734352 | Rebound LLC | Medicare Defined Swing Bed Unit | 190 Mount Pelia Rd, Martin, TN 38237-3812 | 2006-03-15 |
| 1821060930 | Martin Health | Medicare Defined Swing Bed Unit | 161 Mount Pelia Rd, Martin, TN 38237-3811 | 2006-02-02 |
| 1518957950 | Bolivar General Hospital, Inc. | Medicare Defined Swing Bed Unit | 650 Nuckolls Rd, Bolivar, TN 38008-1532 | 2005-10-26 |
| 1952900920 | Vanderbilt Bedford Hospital, LLC | Medicare Defined Swing Bed Unit | 2835 Highway 231 N, Shelbyville, TN 37160-7327 | 2020-10-21 |
| 1750904041 | Tullahoma Hma LLC | Medicare Defined Swing Bed Unit | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2020-05-21 |
| 1427671718 | Clarksville Health System Gp | Medicare Defined Swing Bed Unit | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2020-05-21 |
| 1518580893 | Cleveland Tennessee Hospital Company LLC | Medicare Defined Swing Bed Unit | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2020-05-21 |
| 1417570961 | Metro Knoxville Hma LLC | Medicare Defined Swing Bed Unit | 7565 Dannaher Dr, Powell, TN 37849-4029 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | SMITHVILLE |
| Zip Code | 37166 |
Please comment or provide details below to improve the information on CANNON COUNTY HOSPITAL, LLC.
| 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.