COFFEE COUNTY HOSPITAL GROUP INC NPI 1972724722

NPI Information

  • NPI: 1972724722
  • Provider Name: COFFEE COUNTY HOSPITAL GROUP INC
  • Classification: Medicare Defined Swing Bed Unit - 275N00000X
  • Entity Type: Organization
  • Doing Business As: MEDICAL CENTER OF MANCHESTER
  • Address: 481 INTERSTATE DR
    MANCHESTER, TN
    ZIP 37355
  • Phone: (931) 728-6354

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NPI Details

COFFEE COUNTY HOSPITAL GROUP INC is a medicare defined swing bed unit in Manchester, TN. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. COFFEE COUNTY HOSPITAL GROUP INC NPI is 1972724722. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Center Of Manchester.

The provider's business location address is:

481 INTERSTATE DR
MANCHESTER, TN
ZIP 37355-108
Phone: (931) 728-6354
Fax: (931) 728-5420

The provider's authorized official is Robert J Couch .
The authorized official title is Chief Executive Officer and has the following contact phone number (931) 728-6354.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/22/2020.

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
1275N00000XMedicare Defined Swing Bed Unit000000000019TENNESSEEYes

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
144Z308MEDICAIDTENNESSEE

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: 3/30/2025

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