CAMPBELL COUNTY HMA, LLC (NPI# 1548241953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548241953 |
| Entity Type | Organization |
| Organization Name | CAMPBELL COUNTY HMA, LLC |
| Other Organization Name | TENNOVA HEALTHCARE-LAFOLLETTE MEDICAL CENTER |
| Practice Address |
923 E Central Ave La Follette TN 37766-2768 |
| Practice Telephone | 4239071200 |
| Practice Fax Number | 4239071189 |
| Mailing Telephone | 4239071200 |
| Mailing Fax Number | 4239071163 |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2017-08-29 |
| Authorized Official Name | PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 0000000008 | TN | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0440033 | 05 |
| Other Name | Type Code |
|---|---|
| Tennova Healthcare-LaFollette Medical Center | 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 |
| 1144502477 | Campbell County Hma, LLC | Physician Assistant | 2145 Jacksboro Pike, La Follette, TN 37766-3003 | 2011-09-13 |
| 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 |
923 E CENTRAL AVE |
| City | LA FOLLETTE |
| State | TN |
| Zip Code | 37766-2768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194354092 | Greg Duane Edwards | Pharmacist | 923 E Central Ave, La Follette, TN 37766-2768 | 2020-04-03 |
| 1124657960 | Krista Jo Shouse | Pharmacist | 923 E Central Ave, La Follette, TN 37766-2768 | 2020-04-03 |
| 1689223489 | Ivy Lee Massengale | Emergency Medicine | 923 E Central Ave, La Follette, TN 37766-2768 | 2019-09-05 |
| 1841790177 | Lee Seargeant IIi | Pharmacist | 923 E Central Ave, La Follette, TN 37766-2768 | 2018-02-13 |
| 1457899882 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 923 E Central Ave, La Follette, TN 37766-2768 | 2017-02-06 |
| 1427591999 | Douglas Roberts | Physical Therapist | 923 E Central Ave, La Follette, TN 37766-2768 | 2016-11-30 |
| 1851610356 | Kimberly Jean Rose | Physician Assistant | 923 E Central Ave, La Follette, TN 37766-2768 | 2010-05-24 |
| 1508196924 | Melissa Elaine Welden | Nurse Practitioner | 923 E Central Ave, La Follette, TN 37766-2768 | 2010-01-07 |
| 1245499581 | Roseann Michelle Basarich | Physical Therapist | 923 E Central Ave, La Follette, TN 37766-2768 | 2008-06-02 |
| 1891852125 | Thomas L Cohen | Specialist | 923 E Central Ave, Radiology Department, La Follette, TN 37766-2768 | 2007-01-03 |
| Find all providers in the same location | ||||
| 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376719419 | Hca Health Services of Tennessee, Inc. | Psychiatric Unit | 391 Wallace Road, Nashville, TN 37211-4851 | 2008-05-07 |
| 1831223635 | Lincoln Medical Center | Psychiatric Unit | 1681 Winchester Hwy, Fayetteville, TN 37334-2758 | 2007-03-15 |
| 1558499483 | Perry Community Hospital, LLC | Psychiatric Unit | 2718 Squirrel Hollow Dr, Linden, TN 37096-3526 | 2007-03-01 |
| 1760405849 | Wellmont Health System | Psychiatric Unit | 1905 American Way, Kingsport, TN 37660-5882 | 2006-07-26 |
| 1821030842 | Vanderbilt University Medical Center | Psychiatric Unit | 500 Park Avenue, Lebanon, TN 37087-3721 | 2006-06-12 |
| 1558319863 | Parkridge Medical Center, Inc. | Psychiatric Unit | 2200 Morris Hill Rd, Chattanooga, TN 37421-2818 | 2006-05-05 |
| 1295792125 | Baptist Memorial Hospital- Lauderdale | Psychiatric Unit | 326 Asbury Ave, Ripley, TN 38063-5577 | 2006-04-26 |
| 1306818265 | State of Tennessee F&a Payroll | Psychiatric Unit | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2006-02-06 |
| 1346854577 | Methodist Healthcare East Hospital | Psychiatric Unit | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
| 1588212732 | Rural Hospitals and Clinics of America, Inc | Psychiatric Unit | 100 Old Jefferson St, Celina, TN 38551-4040 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
| City | LA FOLLETTE |
| Zip Code | 37766 |
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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.