MAURY REGIONAL HOSPITAL (NPI# 1528665452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528665452 |
| Entity Type | Organization |
| Organization Name | MAURY REGIONAL HOSPITAL |
| Practice Address |
103 Jv Mangubat Dr Waynesboro TN 38485-2440 |
| Practice Telephone | 9526532525 |
| Practice Fax Number | 9526532540 |
| Mailing Telephone | 9526532525 |
| Mailing Fax Number | 9526532540 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | PAUL BRATTON BETZ (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2057597147 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689160939 | Maury Regional Hospital | Clinic/Center | 98 Experiment Station Lane, Columbia, TN 38401-4700 | 2018-07-10 |
| 1790170389 | Maury Regional Hospital | Clinic/Center | 854 W James M Campbell Blvd Ste 301, Columbia, TN 38401-4659 | 2015-04-01 |
| 1780634683 | Maury Regional Hospital | Ambulance | 1212 Tradewinds Dr, Columbia, TN 38401-4604 | 2006-05-11 |
| 1528057791 | Maury Regional Hospital | Home Health | 830 Hatcher Ln, Columbia, TN 38401-3528 | 2005-10-19 |
| 1073156410 | Maury Regional Hospital | Clinic/Center | 200 S Cross Bridges Rd, Mt Pleasant, TN 38474-1714 | 2019-10-17 |
| 1063055408 | Maury Regional Hospital | Clinic/Center | 5421 Main St Ste 1, Spring Hill, TN 37174-4411 | 2019-10-17 |
| 1194378083 | Maury Regional Hospital | Clinic/Center | 1222 Trotwood Ave Ste 603, Columbia, TN 38401-6410 | 2019-07-19 |
| 1669983995 | Maury Regional Hospital | Clinic/Center | 101 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2017-10-13 |
| 1679937783 | Maury Regional Hospital | Clinic/Center | 1090 N Ellington Pkwy, Suite 201, Lewisburg, TN 37091-2227 | 2016-04-06 |
| 1578921763 | Maury Regional Hospital | Clinic/Center | 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 | 2016-02-03 |
| Street Address |
103 JV MANGUBAT DR |
| City | WAYNESBORO |
| State | TN |
| Zip Code | 38485-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942294863 | Donald Gabriel Polk | Family Medicine | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2005-09-07 |
| 1386136869 | Kelsey Lee | Occupational Therapy Assistant | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2018-05-31 |
| 1700251410 | Elizabeth Humphrey | Pharmacist | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2015-12-07 |
| 1053691063 | Lifecare Family Services | Community/Behavioral Health | 103 Jv Mangubat Dr, Medical Office-suite C, Waynesboro, TN 38485-2440 | 2011-08-22 |
| 1285866970 | Olivia Kathryn Barrington | Pharmacist | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2009-08-14 |
| 1891967592 | Rhonda Penelope Moore | Physical Therapy Assistant | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2008-04-02 |
| 1457489312 | Jerry M Duren | Pharmacy | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2007-03-01 |
| 1902940117 | Hubert Ernest Langley | Specialist | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2007-02-19 |
| 1811927544 | Maury Regional Hospital | Medicare Defined Swing Bed Unit | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2006-07-05 |
| 1477594455 | Robert Coble | Emergency Medicine | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2006-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760903066 | Wayne Provision | Community/Behavioral Health | 950 Andrew Jackson Drive, Waynesboro, TN 38485 | 2017-06-28 |
| 1407387772 | Nelda Prater | Counselor | 942 Andrew Jackson Dr., Waynesboro, TN 38485 | 2017-03-27 |
| 1427479328 | Tennessee Pain Management Associates | Pain Medicine | 530 Us Hwy 64, Suite 5, Waynesboro, TN 38485 | 2013-12-18 |
| 1982031415 | Donna J Casteel | Nurse Practitioner | 107 Jv Mangubat Drive, Waynesboro, TN 38485 | 2013-09-30 |
| 1316371222 | Wes Yeiser Donaldson | Physical Therapy Assistant | 183 Long Vue, Waynesboro, TN 38485 | 2013-08-27 |
| 1407096829 | Brian Paul Coggins | Physical Therapist | 514 South High St, Waynesboro, TN 38485 | 2009-02-25 |
| 1467691600 | At Home Meds, LLC | Durable Medical Equipment & Medical Supplies | 1126 B Collinwood Highway, Waynesboro, TN 38485 | 2009-02-11 |
| 1730375908 | Best Medical Inc. | Durable Medical Equipment & Medical Supplies | 905 Andrew Jackson Drive, Suite C, Waynesboro, TN 38485 | 2007-09-20 |
| 1295933661 | Air Evac Ems Inc. | Ambulance | 915 Andrew Jackson Drive, Waynesboro, TN 38485 | 2007-07-06 |
| 1871650895 | Mrh Dba Wmc | Nursing Facility/Intermediate Care Facility | 505 South High Street, Waynesboro, TN 38485 | 2007-01-02 |
| Find all providers in zip 38485 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181160 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 4220 Harding Pike Bldg Ste200, Nashville, TN 37205-2005 | 2020-07-09 |
| 1144849050 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 1750 Cedar Ln Ste 200, Tullahoma, TN 37388-4761 | 2020-04-10 |
| 1720607625 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 3443 Dickerson Pike Ste 760, Nashville, TN 37207-2527 | 2020-04-10 |
| 1710516901 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 504 22nd Ave E, Springfield, TN 37172-3754 | 2020-04-08 |
| 1700415981 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 2121 N Locust Ave Ste 2, Lawrenceburg, TN 38464-4454 | 2020-04-08 |
| 1922634575 | Dedicated Physicians Group of Tennessee, Pllc | Non-Pharmacy Dispensing Site | 2252 Lamar Ave, Memphis, TN 38114-6608 | 2020-03-16 |
| 1144855073 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 776 Weatherly Dr Ste A, Clarksville, TN 37043-8941 | 2020-03-11 |
| 1407481567 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 5073 Main St Ste 210, Spring Hill, TN 37174-2738 | 2020-03-10 |
| 1659906709 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 103 Physicians Way Ste 102, Lebanon, TN 37090-4132 | 2020-03-10 |
| 1346875309 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 353 New Shackle Island Rd Ste 204a, Hendersonville, TN 37075-2371 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
| City | WAYNESBORO |
| Zip Code | 38485 |
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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.