Healthcare Provider Details

I. General information

NPI: 1760651301
Provider Name (Legal Business Name): SCOTT COUNTY HMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2008
Last Update Date: 03/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18797 ALBERTA ST
ONEIDA TN
37841-2127
US

IV. Provider business mailing address

18797 ALBERTA ST
ONEIDA TN
37841-2127
US

V. Phone/Fax

Practice location:
  • Phone: 423-286-5300
  • Fax: 423-286-5661
Mailing address:
  • Phone: 423-569-8521
  • Fax: 423-569-2857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number0000000101
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number0000000101
License Number StateTN

VIII. Authorized Official

Name: LINDA A. EPSTEIN
Title or Position: VICE PRESIDENT
Credential: ESQ
Phone: 239-552-3490