HENDERSONVILLE HOSPITAL CORPORATION
NPI 1134069164
Clinic/Center - Emergency Care in Portland, TN

NPI Status: Active since March 30, 2026

Contact Information

105 REDBUD DR
PORTLAND, TN
ZIP 37148
Phone: (615) 344-9551

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  • Organization
  • Clinic/Center
  • Emergency Care
  • CLIA Number: 44D2068939
  • CLIA Cert. Type: Other - FREE STANDING ER
  • CLIA Exp. Date: 06-23-2027

About HENDERSONVILLE HOSPITAL CORPORATION

This page provides the complete NPI Profile along with additional information for Hendersonville Hospital Corporation, a provider established in Portland, Tennessee operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1134069164 assigned on March 2026. The practitioner's primary taxonomy code is 261QE0002X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Justin Thomas Coury (Ceo)

NPI
1134069164
Provider Name
HENDERSONVILLE HOSPITAL CORPORATION
Entity Type
Organization
Location Address
105 REDBUD DR PORTLAND, TN 37148
Location Phone
(615) 344-9551
Mailing Address
105 REDBUD DR PORTLAND, TN 37148
Mailing Phone
(615) 344-9551
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-30-2026
Last Update Date
03-30-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Emergency Care

Taxonomy Code
261QE0002X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUSTIN THOMAS COURY

Authorized Official Title
CEO
Authorized Official Phone
(615) 338-1110

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2068939
Facility Type
Other - FREE STANDING ER
Certificate Effective Date
June 24, 2025
Certificate Expiration Date
June 23, 2027
Laboratory Director
DR. ELIJAH STIEFEL
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Hendersonville Hospital Corporation on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134069164, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 0 → 0 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 0 + 6 + 1 + 8 + 1 + 1 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1134069164.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Emergency Medicine
105 REDBUD DR
PORTLAND, TN 37148
Family Medicine
105 REDBUD DR, EMERGENCY DEPARTMENT
PORTLAND, TN 37148
Emergency Medicine
105 REDBUD DR
PORTLAND, TN 37148
Emergency Medicine
105 REDBUD DR
PORTLAND, TN 37148
Emergency Medicine
105 REDBUD DR
PORTLAND, TN 37148
Emergency Medicine
105 REDBUD DR
PORTLAND, TN 37148
General Acute Care Hospital
105 REDBUD DR
PORTLAND, TN 37148
Nurse Anesthetist, Certified Registered
105 REDBUD DR
PORTLAND, TN 37148
Durable Medical Equipment & Medical Supplies
105 REDBUD DR
PORTLAND, TN 37148
Emergency Medicine
105 REDBUD DR
PORTLAND, TN 37148
Emergency Medicine
105 REDBUD DR
PORTLAND, TN 37148

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134069164, enumerated as an "organization" on March 30, 2026.

The provider is located at 105 REDBUD DR PORTLAND, TN 37148 and the phone number is (615) 344-9551.

Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.