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TAKOMA REGIONAL HOSPITAL INC NPI 1679570998


NPI Information

NPI: 1679570998
Provider Name: TAKOMA REGIONAL HOSPITAL INC

Doing Business As: LAUGHLIN HEALTHCARE CENTER

Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization
Address:
801 E MCKEE ST
GREENEVILLE, TN
ZIP 37743
Phone: (423) 638-9226
Get Directions

TAKOMA REGIONAL HOSPITAL INC is a nursing facility intermediate care facility in Greeneville, TN. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. TAKOMA REGIONAL HOSPITAL INC NPI is 1679570998. The provider is registered as an organization entity type.
The provider Is Doing Business As Laughlin Healthcare Center.

The provider's business location address is:

801 E MCKEE ST
GREENEVILLE, TN
ZIP 37743-010
Phone: (423) 638-9226
Fax: (423) 638-1561

The provider's authorized official is Shane Edwin Hilton .
The authorized official title is Evp/cfo and has the following contact phone number (423) 302-3467.

The enumeration date for this NPI number is 7/1/2005 and was last updated on 4/17/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1313M00000XNursing Facility/Intermediate Care Facility620701119TENNESSEEYes
2314000000XSkilled Nursing Facility620701119TENNESSEENo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10125021OTHERTENNESSEEBLUE CROSS - BLUE SHIELD
20740620001OTHERTENNESSEEPALMETTO GOVERNMENT ADMIN
37440545MEDICAIDTENNESSEE
40445264MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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