COFFEE MEDICAL GROUP LLC (NPI# 1104995281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104995281 |
| Entity Type | Organization |
| Organization Name | COFFEE MEDICAL GROUP LLC |
| Other Organization Name | DBA UNITED REGIONAL MEDICAL CENTER |
| Practice Address |
1001 Mcarthur St Manchester TN 37355-2419 |
| Practice Telephone | 9314613436 |
| Practice Fax Number | 9314612587 |
| Mailing Telephone | 9314613436 |
| Mailing Fax Number | 9314612587 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT GEORGE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9314613439 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 0000000017 | TN | Hospitals |
| Other Name | Type Code |
|---|---|
| dba United Regional Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063509271 | Coffee Medical Group LLC | Nursing Facility/Intermediate Care Facility | 1001 Mcarthur Drive, Manchester, TN 37355 | 2006-10-07 |
| 1013969179 | Coffee Medical Group LLC | General Acute Care Hospital | 481 Interstate Dr, Manchester, TN 37355-3108 | 2006-05-17 |
| 1114209400 | Coffee Medical Group LLC | Internal Medicine | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2011-09-13 |
| 1700192028 | Coffee Medical Group LLC | Clinic/Center | 1615 Mcminnville Hwy, Manchester, TN 37355-3179 | 2010-08-24 |
| 1043537046 | Coffee Medical Group LLC | Clinic/Center | 482 Interstate Dr, Suite A, Manchester, TN 37355-3109 | 2010-04-29 |
| Street Address |
1001 MCARTHUR ST |
| City | MANCHESTER |
| State | TN |
| Zip Code | 37355-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790792141 | Neil Edward Christopher Jr. | Emergency Medicine | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2006-08-01 |
| 1225659956 | Extended Family Care LLC | Community/Behavioral Health | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2020-05-05 |
| 1427306521 | Regina Maria Poston | Registered Nurse | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2012-08-21 |
| 1114209400 | Coffee Medical Group LLC | Internal Medicine | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2011-09-13 |
| 1376794495 | Exa Freuler Ogden | Dietitian, Registered | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2008-10-07 |
| 1124227707 | United Regional Medical Center Nursing Home | Skilled Nursing Facility | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2007-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659857126 | Ashley Harmon Layne | Speech-Language Pathologist | 205 S Woodland St, Manchester, TN 37355 | 2018-07-17 |
| 1760996771 | Quad/med, LLC | Clinic/Center | 227 Monogard Rd, Manchester, TN 37355 | 2017-11-29 |
| 1881108157 | Sarabeth Seagreaves | Specialist/Technologist | 1700 Summer St Apt A36, Manchester, TN 37355 | 2017-11-25 |
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1316361561 | Charlotte Gibbs | Counselor | 482 Interstate Dr Ste D, Manchester, TN 37355 | 2014-02-08 |
| 1205258191 | Aleene Marie Falk | Social Worker | 218 Forrestwood Drive, Manchester, TN 37355 | 2014-01-10 |
| 1790067429 | Reda Lynn Lawson | Registered Nurse | 800 Parks Street, Manchester, TN 37355 | 2011-09-20 |
| 1912294117 | Patricia Beth Elliott | Nurse Practitioner | 804 Keylon Street, Manchester, TN 37355 | 2011-07-08 |
| 1427241421 | Kimberly D. Mathis | Nurse Practitioner | 1600 Mcarthur Street, Manchester, TN 37355 | 2007-08-22 |
| 1982761441 | Richard Eugene Fishbein | Orthopaedic Surgery | 102 East High Street, Manchester, TN 37355 | 2007-01-03 |
| Find all providers in zip 37355 | ||||
| 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 |
|---|---|---|---|---|
| 1336404169 | Manchester Memorial Hospital | General Acute Care Hospital | 71 Haynes St, Manchester, CT 06040-4131 | 2012-07-09 |
| 1740571397 | Eastern Connectitcut Medical Professionals | General Acute Care Hospital | 71 Haynes St, Suite 1209, Manchester, CT 06040-4131 | 2011-04-29 |
| 1760789143 | Amy Bacon-ford | General Acute Care Hospital | 1 Elliot Way, Manchester, NH 03103-3502 | 2011-02-21 |
| 1649417643 | Manchester Memorial Hospital | General Acute Care Hospital | 71 Haynes St., Patient Financial Services, Manchester, CT 06040-4105 | 2009-01-13 |
| 1508080391 | Elliot Hospital | General Acute Care Hospital | 275 Mammoth Rd, Suite 3, Manchester, NH 03109-4133 | 2007-04-12 |
| 1902996028 | Elliot Hospital of The City of Manchester | General Acute Care Hospital | 1 Elliot Way, Manchester, NH 03103-3502 | 2006-10-13 |
| 1477653731 | Manchester Vamc | General Acute Care Hospital | 718 Smyth Rd, Manchester, NH 03104-7004 | 2006-09-25 |
| 1427154335 | Catholic Medical Center | General Acute Care Hospital | 100 Mcgregor St, Manchester, NH 03102-3730 | 2006-09-16 |
| 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 | MANCHESTER |
| Zip Code | 37355 |
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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.