TAKOMA REGIONAL HOSPITAL, INC. (NPI# 1821619560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821619560 |
| Entity Type | Organization |
| Organization Name | TAKOMA REGIONAL HOSPITAL, INC. |
| Practice Address |
1021 Coolidge St Ste 5 Greeneville TN 37743-4692 |
| Mailing Address |
509 Med Tech Pkwy Ste 100 Johnson City TN 37604-2579 |
| Practice Telephone | 4236360700 |
| Practice Fax Number | 4232241983 |
| Mailing Telephone | 4239522111 |
| Mailing Fax Number | 4239522175 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | GREGORY LEE WILGOCKI (VP REIMBURSEMENT) |
| Authorized Official Telephone | 4234315794 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Greeneville Employee Heatlh Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857567 | Takoma Regional Hospital, Inc. | Pediatrics | 5000 Monarch Pt, Greeneville, TN 37745-4275 | 2015-12-22 |
| Street Address |
1021 COOLIDGE ST STE 5 |
| City | GREENEVILLE |
| State | TN |
| Zip Code | 37743-4692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
| 1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
| 1205264058 | Robert Maddox | Social Worker | 421 5th Ave North, Employee Health Clinic, 2nd Floor Central Services Bldg, Nashville, TN 37743 | 2013-10-14 |
| 1336574326 | Cathy J Davis | Occupational Therapy Assistant | 910 West Summer Street, Greeneville, TN 37743 | 2013-09-09 |
| 1659614238 | Person Centered Choices, LLC | In Home Supportive Care | 615 W. Main St., Ste. 204, Greeneville, TN 37743 | 2013-04-01 |
| 1730449943 | Jenilee Stepp | Behavioral Analyst | 1007 West Main Suite B, Greenville, TN 37743 | 2012-05-22 |
| 1083971303 | Jessica Allison Mcafee | Registered Nurse | 401 Takoma Ave., Suite 1, Second Floor, Greeneville, TN 37743 | 2012-04-12 |
| 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 |
| 1215200118 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2495 Buckingham Road, Greeneville, TN 37743 | 2012-02-23 |
| Find all providers in zip 37743 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407892219 | Apple Rehab Agency Services Inc | Clinic/Center | 533 Tusculum Blvd, Greeneville, TN 37745-3940 | 2006-06-21 |
| 1669424685 | Greeneville Urgent Care Center Inc | Clinic/Center | 1744 E Andrew Johnson Hwy, Greeneville, TN 37745-4278 | 2006-05-17 |
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| 1861013864 | Blue Ridge Medical Management C Orporation | Clinic/Center | 403 Princeton Rd Ste 10, Johnson City, TN 37601-2062 | 2020-04-30 |
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| 1366078669 | Np Cares, LLC | Clinic/Center | 4515 Poplar Ave Ste 131, Memphis, TN 38117-7503 | 2020-03-18 |
| 1326670555 | East Memphis Urgent Medical Clinic PC | Clinic/Center | 6515 Poplar Ave Ste 106, Memphis, TN 38119-4878 | 2020-02-05 |
| 1225673395 | The Transformation Doctor, LLC Dba Wellnessmd | Clinic/Center | 3680 S Houston Levee Rd Ste 104, Collierville, TN 38017-9151 | 2019-11-13 |
| 1104469428 | Knox Headache and Wellness Center LLC | Clinic/Center | 4612 E Joyce Ln, Powell, TN 37849-5155 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
| City | GREENEVILLE |
| Zip Code | 37743 |
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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.