Healthcare Provider Details

I. General information

NPI: 1821993908
Provider Name (Legal Business Name): JEFFERSON COUNTY HMA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

334 HIGHWAY 92 S STE 10
DANDRIDGE TN
37725-4571
US

IV. Provider business mailing address

110 HOSPITAL DR
JEFFERSON CTY TN
37760-5281
US

V. Phone/Fax

Practice location:
  • Phone: 865-471-2575
  • Fax: 865-471-2579
Mailing address:
  • Phone: 865-471-2500
  • Fax: 865-471-2450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: PAULA LALOR
Title or Position: SENIOR DIRECTOR
Credential:
Phone: 629-215-3953