VANDERBILT COFFEE HOSPITAL LLC (NPI# 1831798719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831798719 |
| Entity Type | Organization |
| Organization Name | VANDERBILT COFFEE HOSPITAL LLC |
| Other Organization Name | VANDERBILT TULLAHOMA-HARTON HOSPITAL |
| Practice Address |
1801 N Jackson St Tullahoma TN 37388-8259 |
| Mailing Address |
719 Thompson Ln Ste 30330 Nashville TN 37204-4701 |
| Practice Telephone | 9313933000 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | ANGELA SIMMONS (VP REIMBURSEMENT AND REVENUE) |
| Authorized Official Telephone | 6159368875 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Vanderbilt Tullahoma-Harton Hospital | Doing Business As Name - Organization |
| Street Address |
1801 N JACKSON ST |
| City | TULLAHOMA |
| State | TN |
| Zip Code | 37388-8259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932195351 | Joel Stanley Birdwell | Radiology | 1801 N Jackson St, Tullahoma, TN 37388-2201 | 2005-09-21 |
| 1720689698 | Stephania Rose Colangione | Registered Nurse | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2020-11-05 |
| 1750904041 | Tullahoma Hma LLC | Medicare Defined Swing Bed Unit | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2020-05-21 |
| 1407492572 | Savannah Brooke Carroll | Nurse Practitioner | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2019-11-22 |
| 1487164703 | Lydia Grace Seibert | Physician Assistant | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2017-10-02 |
| 1891152104 | Cardiology & Vascular Associates | Internal Medicine | 1801 N Jackson St, Suite 100, Tullahoma, TN 37388-2283 | 2016-01-19 |
| 1255742946 | Tullahoma Hospitalist Group, Pllc | Hospitalist | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2014-05-15 |
| 1215357868 | Red Rock Anesthesia, Pllc | Anesthesiology | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2014-04-22 |
| 1144568809 | Samantha L Dawson | Nurse Anesthetist, Certified Registered | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2013-01-30 |
| 1083951834 | James Estes | Nurse Practitioner | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2013-01-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588183628 | Angela Michelle Sowers | Dietitian, Registered | 1801 North Jackson St, Tullahoma, TN 37388 | 2017-09-09 |
| 1194242669 | Haley D Stewart | Speech-Language Pathologist | Top Rehab Services, Inc, 2110 N. Jackson Street, Tullahoma, TN 37388 | 2017-08-25 |
| 1295263150 | Kelli Elaine Spencer | Nurse Practitioner | Partners for Healing, 109 West Blackwell Street, Tullahoma, TN 37388 | 2017-05-23 |
| 1932651486 | Adam Snider | Physical Therapy Assistant | 1321 Cedar Lane, Tullahoma, TN 37388 | 2016-11-01 |
| 1891240743 | Elizabeth Riddle | Nurse Practitioner | 1805 N Jackson St Ste 11, Tullahoma, TN 37388 | 2016-08-22 |
| 1720437189 | Ronda Schrimsher | Peer Specialist | 108 E Lauderdale St, Tullahoma, TN 37388 | 2016-06-07 |
| 1003298639 | Jeanetta Clark | Counselor | 1803 N. Jackson St, Centerstone of Tennessee, Tullahoma, TN 37388 | 2015-06-19 |
| 1285051698 | Ashley Mcmurtry | Physical Therapist | 2110 N. Jackson Street, Tullahoma, TN 37388 | 2014-03-24 |
| 1093150575 | Orthopedic Braces | Case Management | 206 Westside Dr, Tullahoma, TN 37388 | 2013-05-09 |
| 1427397199 | Kristina Danette Carter | Pharmacist | 104 North Jackson Street, Tullahoma, TN 37388 | 2013-01-31 |
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| 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 |
|---|---|---|---|---|
| 1922052869 | Tullahoma Hma LLC | General Acute Care Hospital | 1801 N Jackson St, Tullahoma, TN 37388-2201 | 2006-05-22 |
| 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 |
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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.