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1821993908 NPI number — JEFFERSON COUNTY HMA, LLC

NPI Number: 1821993908
Health Care Provider/Practitioner: JEFFERSON COUNTY HMA, LLC

Information about “1821993908” NPI (JEFFERSON COUNTY HMA, LLC) exists in 1821993908 in HTML format HTML  |  1821993908 in plain Text format TXT  |  1821993908 in PDF (Portable Document Format) PDF  |  1821993908 in an XML format XML  formats.

NPI Number : 1821993908 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821993908",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "JEFFERSON COUNTY HMA, LLC",
    "ParentOrgTIN": null,
    "OrgName": "JEFFERSON COUNTY HMA, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "110 HOSPITAL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JEFFERSON CTY",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37760-5281",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "865-471-2500",
    "MailingAddressFaxNumber": "865-471-2450",
    "FirstLinePracticeLocationAddress": "334 HIGHWAY 92 S STE 10",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DANDRIDGE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37725-4571",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "865-471-2575",
    "PracticeLocationAddressFaxNumber": "865-471-2579",
    "EnumerationDate": "10/09/2026",
    "LastUpdateDate": "10/09/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LALOR",
    "AuthorizedOfficialFirstName": "PAULA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SENIOR DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "629-215-3953",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QR0400X",
        "TaxonomyName": "Rehabilitation Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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