MAURY REGIONAL HOSPITAL (NPI# 1811927544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811927544 |
| Entity Type | Organization |
| Organization Name | MAURY REGIONAL HOSPITAL |
| Other Organization Name | WAYNE MEDICAL CENTER |
| Practice Address |
103 Jv Mangubat Dr Waynesboro TN 38485-2440 |
| Mailing Address |
1224 Trotwood Ave Columbia TN 38401-4802 |
| Practice Telephone | 9317225411 |
| Practice Fax Number | 9317226407 |
| Mailing Telephone | 9313811111 |
| Mailing Fax Number | 9315404294 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-12-04 |
| Authorized Official Name | SANDIE CARROLL (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9313811111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 275N00000X | Medicare Defined Swing Bed Unit | 0000000125 | TN | Hospital Units |
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
1866 | TN | Suppliers |
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services | ||
| Y | 282N00000X | General Acute Care Hospital | 0000000125 | TN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2138156 | 01 | |
| TN | Q017785 | 05 |
| Other Name | Type Code |
|---|---|
| Wayne Medical Center | 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 |
| 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 |
| Street Address |
103 JV MANGUBAT DR |
| City | WAYNESBORO |
| State | TN |
| Zip Code | 38485-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942294863 | Donald Gabriel Polk | Family Medicine | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2005-09-07 |
| 1528665452 | Maury Regional Hospital | Non-Pharmacy Dispensing Site | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2020-10-05 |
| 1386136869 | Kelsey Lee | Occupational Therapy Assistant | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2018-05-31 |
| 1700251410 | Elizabeth Humphrey | Pharmacist | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2015-12-07 |
| 1053691063 | Lifecare Family Services | Community/Behavioral Health | 103 Jv Mangubat Dr, Medical Office-suite C, Waynesboro, TN 38485-2440 | 2011-08-22 |
| 1285866970 | Olivia Kathryn Barrington | Pharmacist | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2009-08-14 |
| 1891967592 | Rhonda Penelope Moore | Physical Therapy Assistant | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2008-04-02 |
| 1457489312 | Jerry M Duren | Pharmacy | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2007-03-01 |
| 1902940117 | Hubert Ernest Langley | Specialist | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2007-02-19 |
| 1477594455 | Robert Coble | Emergency Medicine | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2006-06-09 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1679559983 | Wayne General Hospital | General Acute Care Hospital | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2005-12-19 |
| 1417932583 | Healthspan LLP | General Acute Care Hospital | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2005-12-13 |
| 1053672527 | Burke County Hospital Authority | General Acute Care Hospital | 351 S Liberty St, Waynesboro, GA 30830 | 2012-05-31 |
| 1306989561 | Waynesboro Hospital | General Acute Care Hospital | 501 E Main St, Waynesboro, PA 17268-2353 | 2007-02-15 |
| 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 | ||||
| City | WAYNESBORO |
| Zip Code | 38485 |
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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.