MAURY REGIONAL HOSPITAL (NPI# 1669983995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669983995 |
| Entity Type | Organization |
| Organization Name | MAURY REGIONAL HOSPITAL |
| Other Organization Name | PRIMARY CARE FEDERALLY QUALIFIED HEALTH CENTER - WAYNESBORO |
| Practice Address |
101 Jv Mangubat Dr Waynesboro TN 38485-2440 |
| Mailing Address |
617 W Main St Hohenwald TN 38462-1355 |
| Practice Telephone | 9317229999 |
| Practice Fax Number | 9317222049 |
| Mailing Telephone | 9317964901 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |
| Authorized Official Name | MR. NICK A SWIFT (SR. VP/CFO) |
| Authorized Official Telephone | 9315404212 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAURY REGIONAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Primary Care Federally Qualified Health Center - Waynesboro | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689160939 | Maury Regional Hospital | Clinic/Center | 98 Experiment Station Lane, Columbia, TN 38401-4700 | 2018-07-10 |
| 1790170389 | Maury Regional Hospital | Clinic/Center | 854 W James M Campbell Blvd Ste 301, Columbia, TN 38401-4659 | 2015-04-01 |
| 1780634683 | Maury Regional Hospital | Ambulance | 1212 Tradewinds Dr, Columbia, TN 38401-4604 | 2006-05-11 |
| 1528057791 | Maury Regional Hospital | Home Health | 830 Hatcher Ln, Columbia, TN 38401-3528 | 2005-10-19 |
| 1528665452 | Maury Regional Hospital | Non-Pharmacy Dispensing Site | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2020-10-05 |
| 1073156410 | Maury Regional Hospital | Clinic/Center | 200 S Cross Bridges Rd, Mt Pleasant, TN 38474-1714 | 2019-10-17 |
| 1063055408 | Maury Regional Hospital | Clinic/Center | 5421 Main St Ste 1, Spring Hill, TN 37174-4411 | 2019-10-17 |
| 1194378083 | Maury Regional Hospital | Clinic/Center | 1222 Trotwood Ave Ste 603, Columbia, TN 38401-6410 | 2019-07-19 |
| 1679937783 | Maury Regional Hospital | Clinic/Center | 1090 N Ellington Pkwy, Suite 201, Lewisburg, TN 37091-2227 | 2016-04-06 |
| 1578921763 | Maury Regional Hospital | Clinic/Center | 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 | 2016-02-03 |
| Street Address |
101 JV MANGUBAT DR |
| City | WAYNESBORO |
| State | TN |
| Zip Code | 38485-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174501597 | Esmeraldo Diaz Herrera | Emergency Medicine | 101 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2006-01-05 |
| 1831705953 | Carly Ann Cooke | Nurse Practitioner | 101 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2020-09-23 |
| 1821217852 | Harish Veeramachaneni | Family Medicine | 101 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2007-04-25 |
| 1649202953 | Paula A Cole | Nurse Practitioner | 101 Jv Mangubat Dr, Suite B, Waynesboro, TN 38485-2440 | 2006-07-07 |
| 1548292840 | Kendra R Prater-holt | Nurse Practitioner | 101 Jv Mangubat Dr, Suite B, Waynesboro, TN 38485-2440 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760903066 | Wayne Provision | Community/Behavioral Health | 950 Andrew Jackson Drive, Waynesboro, TN 38485 | 2017-06-28 |
| 1407387772 | Nelda Prater | Counselor | 942 Andrew Jackson Dr., Waynesboro, TN 38485 | 2017-03-27 |
| 1427479328 | Tennessee Pain Management Associates | Pain Medicine | 530 Us Hwy 64, Suite 5, Waynesboro, TN 38485 | 2013-12-18 |
| 1982031415 | Donna J Casteel | Nurse Practitioner | 107 Jv Mangubat Drive, Waynesboro, TN 38485 | 2013-09-30 |
| 1316371222 | Wes Yeiser Donaldson | Physical Therapy Assistant | 183 Long Vue, Waynesboro, TN 38485 | 2013-08-27 |
| 1407096829 | Brian Paul Coggins | Physical Therapist | 514 South High St, Waynesboro, TN 38485 | 2009-02-25 |
| 1467691600 | At Home Meds, LLC | Durable Medical Equipment & Medical Supplies | 1126 B Collinwood Highway, Waynesboro, TN 38485 | 2009-02-11 |
| 1730375908 | Best Medical Inc. | Durable Medical Equipment & Medical Supplies | 905 Andrew Jackson Drive, Suite C, Waynesboro, TN 38485 | 2007-09-20 |
| 1295933661 | Air Evac Ems Inc. | Ambulance | 915 Andrew Jackson Drive, Waynesboro, TN 38485 | 2007-07-06 |
| 1871650895 | Mrh Dba Wmc | Nursing Facility/Intermediate Care Facility | 505 South High Street, Waynesboro, TN 38485 | 2007-01-02 |
| Find all providers in zip 38485 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275055873 | Keystone Rural Health Center | Clinic/Center | 6155 Anthony Hwy Ste C, Waynesboro, PA 17268-9718 | 2017-07-14 |
| 1053951491 | Neighborhood Improvement Project Inc | Clinic/Center | 301 Jones Ave, Waynesboro, GA 30830-1510 | 2020-01-14 |
| 1033773155 | Keystone Rural Health Center | Clinic/Center | 1905 Market Square Blvd, Waynesboro, PA 17268-3811 | 2019-04-24 |
| 1780044685 | Keystone Rural Health Center | Clinic/Center | 45 Roadside Ave, Waynesboro, PA 17268-2542 | 2016-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525809 | Christ Community Health Services, Inc | Clinic/Center | 4350 Chuck Ave, Memphis, TN 38118-4076 | 2020-07-08 |
| 1730707621 | Christ Community Health Services, Inc. | Clinic/Center | 3206 Poplar Ave, Memphis, TN 38111-3502 | 2020-07-08 |
| 1003442112 | Christ Commuity Health Services Inc | Clinic/Center | 3360 S 3rd St, Memphis, TN 38109-2944 | 2020-03-20 |
| 1689160939 | Maury Regional Hospital | Clinic/Center | 98 Experiment Station Lane, Columbia, TN 38401-4700 | 2018-07-10 |
| 1194245399 | United Neighborhood Health Services, Inc. | Clinic/Center | 442 Metroplex Dr Ste 200, Nashville, TN 37211-3112 | 2017-06-20 |
| 1659745354 | Memphis Health Center, Inc. | Clinic/Center | 4250 Faronia Rd Ste 2a, Memphis, TN 38116-6527 | 2015-11-18 |
| 1639546187 | United Neighborhood Health Services, Inc. | Clinic/Center | 3904 Gallatin Pike, Nashville, TN 37216 | 2015-08-31 |
| 1790170389 | Maury Regional Hospital | Clinic/Center | 854 W James M Campbell Blvd Ste 301, Columbia, TN 38401-4659 | 2015-04-01 |
| 1285999128 | United Neighborhood Health Services, Inc | Clinic/Center | 401 Walton Ln, Nashville, TN 37216-1018 | 2012-07-06 |
| 1891058848 | United Neighborhood Health Services, Inc | Clinic/Center | 1900 Hobson Pike, Antioch, TN 37013-2421 | 2012-06-23 |
| Find all providers with the same taxonomy | ||||
| City | WAYNESBORO |
| Zip Code | 38485 |
Please comment or provide details below to improve the information on MAURY REGIONAL HOSPITAL.
| 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.