MAURY REGIONAL HOSPITAL (NPI# 1790170389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790170389 |
| Entity Type | Organization |
| Organization Name | MAURY REGIONAL HOSPITAL |
| Other Organization Name | MAURY REGIONAL PRIMECARE CLINIC |
| Practice Address |
854 W James M Campbell Blvd Ste 301 Columbia TN 38401-4659 |
| Mailing Address |
617 W Main St Hohenwald TN 38462-1355 |
| Practice Telephone | 9315404140 |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | NICK A SWIFT (SR. VP/CFO) |
| Authorized Official Telephone | 9315404212 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAURY REGIONAL HOSPITAL DBA LEWIS HEALTH CENTER |
| 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 |
|---|---|
| Maury Regional PrimeCare Clinic | 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 |
| 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 |
| 1669983995 | Maury Regional Hospital | Clinic/Center | 101 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2017-10-13 |
| 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 |
854 W JAMES M CAMPBELL BLVD STE 301 |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401-4659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| 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 |
|---|---|---|---|---|
| 1235753914 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 4605 Monticello Rd Bldg C, Columbia, SC 29203-4156 | 2020-05-29 |
| 1407487382 | Family First Health Corporation | Clinic/Center | 430 Walnut St, Columbia, PA 17512-1295 | 2020-01-30 |
| 1295202356 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 2600 Wheat St, Columbia, SC 29205-2315 | 2018-10-26 |
| 1689160939 | Maury Regional Hospital | Clinic/Center | 98 Experiment Station Lane, Columbia, TN 38401-4700 | 2018-07-10 |
| 1285188466 | Family First Health Corporation | Clinic/Center | 369 Locust St, First Floor, Columbia, PA 17512-1383 | 2016-08-05 |
| 1699157461 | Cumberland Family Medical Center, Inc. | Clinic/Center | 870 Indian Dr, Columbia, KY 42728-1813 | 2015-06-29 |
| 1164804720 | Cumberland Family Medical Center, Inc. | Clinic/Center | 158 Colonel Casey Drive, Columbia, KY 42728 | 2015-06-19 |
| 1760871115 | Eau Claire Cooperative Health Centers, Inc. | Clinic/Center | 2400 Waites Rd, Columbia, SC 29204-1325 | 2015-01-22 |
| 1093051245 | Eau Claire Cooperative Health Center, Inc. | Clinic/Center | 4206 N Main St, Columbia, SC 29203-5864 | 2012-12-17 |
| 1700122967 | Eau Claire Cooperative Health Centers, Inc. | Clinic/Center | 6904 N Main St, Suite 100, Columbia, SC 29203-3852 | 2012-12-17 |
| Find all providers in COLUMBIA | ||||
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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.