Memorial Hospital, Inc., NPI 1902839293
Home Health Agency in Jellico, TN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1902839293 |
| NPI Entity Type | Organization |
| Provider Name |
Memorial Hospital, Inc.
Doing Business As |
| Subpart of Organization | Memorial Hospital, Inc. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 149 Health Care Ln, Jellico, TN, US |
| Provider Mailing Address | 149 Health Care Ln, Jellico, TN, US, 377624433 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Paul Merklin |
| Official Position | CHIEF FINANCIAL OFFICER |
| Phone | 606-598-1035 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Home Health Agency |
| Classification | |
| Group | |
| License No. | 00000000-16 |
| License State | TN |
| Description | A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 0447492 | TN | JOHN DEERE HEALTH | 01 |
| 100020437 | TN | PHP COMPANIES | 01 |
| 46166 | TN | BLUE CROSS BLUE SHIELD | 01 |
| 0447492 | TN | PACIFICARE MCR | 01 |
| 3075983 | TN | BLUECARE | 01 |
| 3075983 | TN | TENNCARE SELECT | 01 |
| 0447492 | TN | STERLING LIFE MCR | 01 |
| 0447492 | TN | JOHN DEERE TENNCARE | 01 |
| 087482900 | TN | FEDERAL BLACK LUNG | 01 |
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