CAMPBELL COUNTY HMA, LLC (NPI# 1144502477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144502477 |
| Entity Type | Organization |
| Organization Name | CAMPBELL COUNTY HMA, LLC |
| Other Organization Name | TENNOVA LAFOLLETTE MEDICAL CENTER CLINIC - SOUTH |
| Practice Address |
2145 Jacksboro Pike La Follette TN 37766-3003 |
| Mailing Address |
Po Box 689022 Franklin TN 37068-9022 |
| Practice Telephone | 4239071700 |
| Practice Fax Number | 4239071711 |
| Mailing Telephone | 6157788071 |
| Mailing Fax Number | 6156286877 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2017-11-14 |
| Authorized Official Name | JAMES PATRICK WRIGHT (SR. DIRECTOR) |
| Authorized Official Telephone | 6157781502 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Tennova LaFollette Medical Center Clinic - South | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639151301 | Campbell County Hma, LLC | General Acute Care Hospital | 923 East Central Avenue, Lafollette, TN 37766-2055 | 2005-11-17 |
| 1548241953 | Campbell County Hma, LLC | Psychiatric Unit | 923 E Central Ave, La Follette, TN 37766-2768 | 2005-11-11 |
| 1235411554 | Campbell County Hma, LLC | Nurse Practitioner | 905 E Central Ave, La Follette, TN 37766-2768 | 2011-09-13 |
| 1831171693 | Campbell County Hma, LLC | Medicare Defined Swing Bed Unit | 923 E Central Ave, Lafollette, TN 37766-2055 | 2005-11-17 |
| Street Address |
2145 JACKSBORO PIKE |
| City | LA FOLLETTE |
| State | TN |
| Zip Code | 37766-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639183353 | Campbell County Hma LLC | Clinic/Center | 2145 Jacksboro Pike, La Follette, TN 37766-3003 | 2006-07-28 |
| 1326684226 | Lauren Alysse Lake | Nurse Practitioner | 2145 Jacksboro Pike, La Follette, TN 37766-3003 | 2019-11-26 |
| 1730442039 | Suzanne M Pearman | Family Medicine | 2145 Jacksboro Pike, La Follette, TN 37766-3003 | 2012-06-21 |
| 1851505366 | Andrew W Howard, Od, Pllc | Optometrist | 2145 Jacksboro Pike, La Follette, TN 37766-3003 | 2007-05-10 |
| 1407954449 | James C Farris | Internal Medicine | 2145 Jacksboro Pike, La Follette, TN 37766 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819914 | Legal Medicine | Nurse Practitioner | 100 South 5th Street, Lafollette, TN 37766 | 2019-03-04 |
| 1306329818 | Kayla Ward | Nurse Practitioner | 617 E Central Ave, La Follette, TN 37766 | 2018-09-11 |
| 1740588920 | Campbell County Walk In Clinic LLC | Family Medicine | 2301 Jacksboro Pkie, Lafollette, TN 37766 | 2011-03-11 |
| 1992001853 | Complete Rural Healthcare and Medical Center Pllc | Specialist | 2146 Jacksboro Pike Suite C, Lafollette, TN 37766 | 2011-02-09 |
| 1821211582 | Bill R Fannon Jr. | Pharmacist | 502 West Central Ave, La Follette, TN 37766 | 2007-04-11 |
| 1437272606 | Kelly B Wells | Pharmacist | 502 West Central Avenue, La Follette, TN 37766 | 2007-04-10 |
| 1548386899 | Gerald A Troutman | Dentist | 109 East Beech Street, Lafollette, TN 37766 | 2007-03-21 |
| 1437280815 | Susan Rebecca Mills | Nurse Practitioner | 2221 Jacksboro Pike Ste C4, La Follette, TN 37766 | 2007-03-08 |
| 1699844399 | County of Campbell | Ambulance | 136 North Massachusetts Ave, Lafollette, TN 37766 | 2006-11-07 |
| 1336230465 | George O'neal Vinsant | Surgery | 919 E. Central Avenue, Suite 201, Lafollette, TN 37766 | 2006-09-27 |
| Find all providers in zip 37766 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639647464 | Krista A Bolton | Family Medicine | 109 Independence Ln Ste 200, La Follette, TN 37766-3034 | 2018-11-09 |
| 1679634158 | Charles S Ward | Family Medicine | 541 Old Middlesboro Hwy, La Follette, TN 37766-7223 | 2006-12-12 |
| 1780629089 | Complete Healthcare Medical Center | Family Medicine | 2146 Jacksboro Pike, Suite C, La Follette, TN 37766-3024 | 2006-06-19 |
| 1215971379 | Kathy M Jackson | Family Medicine | 502 W Central Ave, La Follette, TN 37766-3400 | 2006-06-16 |
| 1477937712 | University Health System, Inc | Family Medicine | 109 Independence Ln, Ste 300, La Follette, TN 37766-3033 | 2015-07-16 |
| 1730442039 | Suzanne M Pearman | Family Medicine | 2145 Jacksboro Pike, La Follette, TN 37766-3003 | 2012-06-21 |
| 1720397169 | Complete Healthcare and Medical Center Pllc | Family Medicine | 2146 Jacksboro Pike, La Follette, TN 37766-3024 | 2010-10-04 |
| 1053420950 | Curtis Cecil Sexton | Family Medicine | 130 Independence Ln, La Follette, TN 37766-3031 | 2006-08-30 |
| 1306876537 | Murugesen Dhandapani | Family Medicine | 2146 Jacksboro Pike, Suite C, La Follette, TN 37766-3024 | 2006-07-04 |
| 1750382164 | Community Health of East Tennessee, Inc | Family Medicine | 130 Independence Ln, Suite 1, La Follette, TN 37766-3031 | 2005-08-09 |
| Find all providers in LA FOLLETTE | ||||
| City | LA FOLLETTE |
| Zip Code | 37766 |
Please comment or provide details below to improve the information on CAMPBELL COUNTY HMA, 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.