COPPER BASIN COMMUNITY HOSPITAL INC (NPI# 1750363115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750363115 |
| Entity Type | Organization |
| Organization Name | COPPER BASIN COMMUNITY HOSPITAL INC |
| Other Organization Name | COPPER BASIN MEDICAL CENTER |
| Practice Address |
144 Medical Center Drive Copperhill TN 37317 |
| Mailing Address |
Po Box 990 Copperhill TN 37317-0990 |
| Practice Telephone | 4234965511 |
| Practice Fax Number | 4234969311 |
| Mailing Telephone | 4234965511 |
| Mailing Fax Number | 4234969311 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2017-05-19 |
| Authorized Official Name | DANIEL C JOHNSON (CEO) |
| Authorized Official Telephone | 4234965511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
0000000094 | TN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 4400041 | 05 | |
| TN | 0440041 | 05 | |
| GA | 000000481A | 05 |
| Other Name | Type Code |
|---|---|
| Copper Basin Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568652329 | Copper Basin Community Hospital Inc | Durable Medical Equipment & Medical Supplies | 144 Medical Center Drive, Copperhill, TN 37317-0990 | 2007-07-27 |
| 1417009978 | Copper Basin Community Hospital Inc | Medicare Defined Swing Bed Unit | 144 Medical Center Drive, Copperhill, TN 37317 | 2007-01-17 |
| Street Address |
144 MEDICAL CENTER DRIVE |
| City | COPPERHILL |
| State | TN |
| Zip Code | 37317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568652329 | Copper Basin Community Hospital Inc | Durable Medical Equipment & Medical Supplies | 144 Medical Center Drive, Copperhill, TN 37317-0990 | 2007-07-27 |
| 1437203155 | Copper Basin Community Hospital Inc. | Emergency Medicine | 144 Medical Center Drive, Copperhill, TN 37317-0144 | 2007-01-22 |
| 1417009978 | Copper Basin Community Hospital Inc | Medicare Defined Swing Bed Unit | 144 Medical Center Drive, Copperhill, TN 37317 | 2007-01-17 |
| 1437163219 | Ocoee Emergency Physicians | Emergency Medicine | 144 Medical Center Drive, Copperhill, TN 37317 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457849457 | Grace Health Services Pllc | Clinic/Center | 104 Grand Avenue, Copperhill, TN 37317 | 2018-04-25 |
| 1841695210 | Toshia Worley | Adult Companion | 120 Grande Ave, Copperhill, TN 37317 | 2014-10-28 |
| 1225334121 | Gregory Alan Eckel | Dentist | 102 Grand Avenue, Copperhill, TN 37317 | 2011-02-10 |
| 1386771566 | Claude Dennis Muse | Dentist | 75 Grand Avenue, Copperhill, TN 37317 | 2007-02-27 |
| 1245335082 | Richard Adler | Internal Medicine | 107 Ocoee Street, Copperhill, TN 37317 | 2006-09-14 |
| 1316958044 | Lester Dale Mccartney | Emergency Medicine | 144 Medical Center Drive., Copperhill, TN 37317 | 2006-08-10 |
| 1821092453 | Stephen M. Treon | Internal Medicine | 141 Ocoee St, Copperhill, TN 37317 | 2005-06-10 |
| 1902212913 | Bethany Whitener | Nurse Practitioner | 104 Grand Ave, Copperhill, TN 37317 | 2014-07-10 |
| 1588855704 | Roy Allen Tipton | Pharmacist | 116 W Ocoee St, Copperhill, TN 37317-0370 | 2007-08-05 |
| 1811187115 | Chad Smith | Pharmacist | 116 West Ocoee St, Copperhill, TN 37317-0370 | 2007-08-01 |
| Find all providers in zip 37317 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861763963 | Sonja Renee Gregory | General Acute Care Hospital | 1208b Scottsville Rd, Lafayette, TN 37083-2231 | 2012-01-20 |
| 1720036841 | Trinity Hospital LLC | General Acute Care Hospital | 5001 E Main St, Erin, TN 37061-4115 | 2006-05-04 |
| 1659347920 | Camden General Hospital, Inc. | General Acute Care Hospital | 175 Hospital Dr, Camden, TN 38320-1617 | 2006-02-27 |
| 1417938846 | Macon County General Hospital, Inc. | General Acute Care Hospital | 204 Medical Drive, Lafayette, TN 37083-9999 | 2005-11-11 |
| 1811987084 | Rhea Medical Center | General Acute Care Hospital | 9400 Rhea County Hwy, Dayton, TN 37321-7922 | 2005-10-27 |
| 1376175687 | Lauderdale Community Hospital LLC | General Acute Care Hospital | 326 Asbury Ave, Ripley, TN 38063-5577 | 2020-02-05 |
| 1104472372 | Rural Hospitals and Clinics of America, Inc | General Acute Care Hospital | 100 Old Jefferson St, Celina, TN 38551-4040 | 2019-08-14 |
| 1962981878 | Houston County Community Hospital | General Acute Care Hospital | 5001 E Main St, Erin, TN 37061-4115 | 2018-08-10 |
| 1851759526 | Community Pharmacy | General Acute Care Hospital | 1818 Albion St, Nashville, TN 37208-2918 | 2016-02-09 |
| 1952720021 | Heather Lillemoe | General Acute Care Hospital | 1161 21st Ave S, Ccc-4312 Mcn, Nashville, TN 37232-2730 | 2014-04-15 |
| Find all providers with the same taxonomy | ||||
| City | COPPERHILL |
| Zip Code | 37317 |
Please comment or provide details below to improve the information on COPPER BASIN COMMUNITY HOSPITAL INC.
| 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.