Healthcare Provider Details

I. General information

NPI: 1497683551
Provider Name (Legal Business Name): MACON COUNTY GENERAL HOSPITAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 W LOCUST ST
LAFAYETTE TN
37083-1712
US

IV. Provider business mailing address

PO BOX 378
LAFAYETTE TN
37083-0378
US

V. Phone/Fax

Practice location:
  • Phone: 615-666-2147
  • Fax: 615-666-7052
Mailing address:
  • Phone: 615-666-2147
  • Fax: 615-666-7052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State

VIII. Authorized Official

Name: ERIN HALEY EVANS
Title or Position: PFS DIRECTOR
Credential:
Phone: 615-688-7914