STATE OF TENNESSEE (NPI# 1659418598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659418598 |
| Entity Type | Organization |
| Organization Name | STATE OF TENNESSEE |
| Other Organization Name | POLK COUNTY HEALTH DEPARTMENT- COPPER BASIN |
| Practice Address |
840 Cherokee Trl Copperhill TN 37317-5200 |
| Practice Telephone | 4234963275 |
| Practice Fax Number | 4234964442 |
| Mailing Telephone | 4234963275 |
| Mailing Fax Number | 4234964442 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JUDY K SHAW (ACCOUNTANT 3) |
| Authorized Official Telephone | 4236345832 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Other Name | Type Code |
|---|---|
| Polk County Health Department- Copper Basin | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417337056 | State of Tennessee | Physical Therapist | 400 Deaderick St, Citizens Plaza, 9th Floor, Nashville, TN 37243-0001 | 2015-06-08 |
| 1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
| 1871997163 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 803 Redbud Dr, Greeneville, TN 37743-6141 | 2014-10-15 |
| 1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
| 1114330545 | State of Tennessee | Occupational Therapist | 301 Stewarts Ferry Pike, Didd Middle Tn Seating and Positioning Clinic, Nashville, TN 37214-3340 | 2014-06-03 |
| 1356770531 | State of Tennessee | Public Health or Welfare | 1660 Silverado Ct, Sevierville, TN 37876-4426 | 2013-11-07 |
| 1699104885 | State of Tennessee | Public Health or Welfare | 485 Sulphur Hollow Rd, Tazewell, TN 37879-5170 | 2013-11-07 |
| 1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
| 1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
| 1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
| Street Address |
840 CHEROKEE TRL |
| City | COPPERHILL |
| State | TN |
| Zip Code | 37317-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316481179 | Kayla Yolanda Hughes | Registered Nurse | 840 Cherokee Trl, Copperhill, TN 37317-5220 | 2016-12-14 |
| 1619189982 | Mary F. Haire | Registered Nurse | 840 Cherokee Trl, Polk County Health Department, Copperhill, TN 37317-5200 | 2007-05-07 |
| 1316159015 | Patricia A Padgett | Licensed Practical Nurse | 840 Cherokee Trl, Copperhill, TN 37317-5200 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457849457 | Grace Health Services Pllc | Clinic/Center | 104 Grand Avenue, Copperhill, TN 37317 | 2018-04-25 |
| 1841695210 | Toshia Worley | Adult Companion | 120 Grande Ave, Copperhill, TN 37317 | 2014-10-28 |
| 1225334121 | Gregory Alan Eckel | Dentist | 102 Grand Avenue, Copperhill, TN 37317 | 2011-02-10 |
| 1386771566 | Claude Dennis Muse | Dentist | 75 Grand Avenue, Copperhill, TN 37317 | 2007-02-27 |
| 1245335082 | Richard Adler | Internal Medicine | 107 Ocoee Street, Copperhill, TN 37317 | 2006-09-14 |
| 1316958044 | Lester Dale Mccartney | Emergency Medicine | 144 Medical Center Drive., Copperhill, TN 37317 | 2006-08-10 |
| 1750363115 | Copper Basin Community Hospital Inc | General Acute Care Hospital | 144 Medical Center Drive, Copperhill, TN 37317 | 2005-11-18 |
| 1821092453 | Stephen M. Treon | Internal Medicine | 141 Ocoee St, Copperhill, TN 37317 | 2005-06-10 |
| 1902212913 | Bethany Whitener | Nurse Practitioner | 104 Grand Ave, Copperhill, TN 37317 | 2014-07-10 |
| 1417009978 | Copper Basin Community Hospital Inc | Medicare Defined Swing Bed Unit | 144 Medical Center Drive, Copperhill, TN 37317 | 2007-01-17 |
| Find all providers in zip 37317 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265054068 | Serious Healthcare Corporation | Public Health or Welfare | 100 Cherokee Blvd Ste 2010, Chattanooga, TN 37405-3864 | 2020-05-14 |
| 1477017150 | Christopher Todd Crouse | Public Health or Welfare | 963 Promenade Dr, Adams, TN 37010-1400 | 2019-01-26 |
| 1184195612 | Management Solutions LLC | Public Health or Welfare | 2202 Award Winning Way Ste 201, Knoxville, TN 37932-1992 | 2018-12-10 |
| 1144739764 | Roots Healthcare and Homes, LLC | Public Health or Welfare | 1150 Saunders Ave, Memphis, TN 38127-5229 | 2017-09-26 |
| 1285155150 | Helping Hands of Middle & West Tennessee | Public Health or Welfare | 1408 N Highland Ave Ste 100, Jackson, TN 38301-3450 | 2017-06-30 |
| 1881068757 | Alcoa Fire Department | Public Health or Welfare | 2010 N Wright Rd, Alcoa, TN 37701-3804 | 2015-11-16 |
| 1124494059 | Tennessee Department of Children's Services | Public Health or Welfare | 436 6th Ave N, Nashville, TN 37243-9004 | 2015-08-14 |
| 1477975654 | Mull Foundation | Public Health or Welfare | 6796 Blue Lake Ln, Memphis, TN 38141-0582 | 2014-01-07 |
| 1356770531 | State of Tennessee | Public Health or Welfare | 1660 Silverado Ct, Sevierville, TN 37876-4426 | 2013-11-07 |
| 1699104885 | State of Tennessee | Public Health or Welfare | 485 Sulphur Hollow Rd, Tazewell, TN 37879-5170 | 2013-11-07 |
| Find all providers with the same taxonomy | ||||
| City | COPPERHILL |
| Zip Code | 37317 |
Please comment or provide details below to improve the information on STATE OF TENNESSEE.
| 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.