MCNAIRY HOSPITAL CORPORATION (NPI# 1154392710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154392710 |
| Entity Type | Organization |
| Organization Name | MCNAIRY HOSPITAL CORPORATION |
| Other Organization Name | TENNOVA HEALTHCARE-MCNAIRY REGIONAL |
| Practice Address |
705 E Poplar Ave Selmer TN 38375-1828 |
| Mailing Address |
Po Box 501060 Saint Louis MO 63150-1060 |
| Practice Telephone | 7316453221 |
| Mailing Telephone | 7316453221 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2016-04-27 |
| Authorized Official Name | TARA P RICHARDSON (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6152213672 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 0000000081 | TN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07771013 | 05 | |
| TN | 440008 | 05 | |
| TN | 0440051 | 05 | |
| BCBS | 4048516 | 01 | |
| TN | 136769 | 05 | |
| TN | 25828 | 05 |
| Other Name | Type Code |
|---|---|
| Tennova Healthcare-McNairy Regional | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649523739 | Mcnairy Hospital Corporation | Clinic/Center | 1 Physicians Dr, Selmer, TN 38375-1887 | 2012-10-26 |
| 1336486158 | Mcnairy Hospital Corporation | Family Medicine | 1 Physicians Dr, Selmer, TN 38375-1887 | 2013-01-14 |
| 1871564385 | Mcnairy Hospital Corporation | Medicare Defined Swing Bed Unit | 705 E Poplar Ave, Selmer, TN 38375-1828 | 2006-02-01 |
| Street Address |
705 E POPLAR AVE |
| City | SELMER |
| State | TN |
| Zip Code | 38375-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770909285 | Cormorant Emergency Physicians LLC | Emergency Medicine | 705 E Poplar Ave, Selmer, TN 38375-1828 | 2014-03-07 |
| 1619221843 | Sara Coleman Depew | Occupational Therapist | 705 E Poplar Ave, Ste 101, Selmer, TN 38375-1828 | 2012-11-09 |
| 1346557824 | Ellen Elizabeth Cole-wesson | Occupational Therapist | 705 E Poplar Ave, Suite 101, Selmer, TN 38375-1828 | 2010-09-07 |
| 1306164900 | Memphis Hand Centers | Occupational Therapist | 705 E Poplar Ave, Suite 101, Selmer, TN 38375-1828 | 2010-05-07 |
| 1972721850 | Paul A Avenel | Emergency Medicine | 705 E Poplar Ave, Selmer, TN 38375-1828 | 2007-04-23 |
| 1548338494 | Elite Emergency Services, Pllc | Contractor | 705 E Poplar Ave, Selmer, TN 38375-1828 | 2006-11-30 |
| 1841301488 | Ambulance Services of Mcnairy, Inc. | Ambulance | 705 E Poplar Ave, Selmer, TN 38375-1828 | 2006-08-31 |
| 1386692606 | Mcnairy Clinic Corp | Obstetrics & Gynecology | 705 E Poplar Ave, Selmer, TN 38375-1828 | 2006-05-05 |
| 1750345807 | James Daniel Baxter | Obstetrics & Gynecology | 705 E Poplar Ave, Selmer, TN 38375-1828 | 2006-04-14 |
| 1871564385 | Mcnairy Hospital Corporation | Medicare Defined Swing Bed Unit | 705 E Poplar Ave, Selmer, TN 38375-1828 | 2006-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154699312 | Nicholas Matters Inc. | Community Based Residential Treatment Facility, Mental Illness | 191 Crabtree Road, Selmer, TN 38375 | 2011-12-02 |
| 1760786479 | Crystal Rose Wilson | Nurse Practitioner | 699 E. Poplar Ave, Selmer, TN 38375 | 2011-01-10 |
| 1699098335 | Sonia Ann Berry | Physical Therapist | 270 E. Court Ave, Suite B, Selmer, TN 38375 | 2010-03-09 |
| 1447386875 | Gregory L Wilson | Dentist | 710 Federal Drive, Selmer, TN 38375 | 2007-02-27 |
| 1184774333 | State of Tennessee | Public Health or Welfare | 725 East Poplar, Selmer, TN 38375 | 2007-01-11 |
| 1114085453 | Bobby Shawn Pitts | Chiropractor | 134 Warren Ave., Selmer, TN 38375 | 2006-12-05 |
| 1104995760 | James Hagy Smith | General Practice | 132 Houston Ave, Selmer, TN 38375 | 2006-11-07 |
| 1467567255 | Sherry M Moore | Registered Nurse | One Prime Care Drive, Selmer, TN 38375 | 2006-08-20 |
| 1568575249 | Ronnie Lee Fullwood | Dentist | 177 Court Ave, Selmer, TN 38375 | 2006-08-16 |
| 1902828627 | Hunter Wade Robertson | Physical Therapist | 1027 Mulberry Av, Selmer, TN 38375 | 2006-07-24 |
| Find all providers in zip 38375 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.