COFFEE COUNTY HOSPITAL GROUP, INC
NPI 1215941646
General Acute Care Hospital - Critical Access in Manchester, TN
About Coffee County Hospital Group, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COFFEE COUNTY HOSPITAL GROUP, INC (NPI 1215941646), doing business as Medical Center Of Manchester, is a healthcare organization registered as a critical access in Manchester, Tennessee and active in the NPI registry since July 2006. The organization lists Robert J. Couch, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Coffee County Hospital Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Coffee County Hospital Group, Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Coffee County Hospital Group, Inc's NPI number?
The NPI number for Coffee County Hospital Group, Inc is 1215941646. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider was formerly known as Medical Center Of Manchester.
Where is Coffee County Hospital Group, Inc located?
Coffee County Hospital Group, Inc is located at 481 Interstate Dr, Manchester, TN 37355. The listed phone number is (931) 728-6354.
What is Coffee County Hospital Group, Inc's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.
Is Coffee County Hospital Group, Inc enrolled in Medicare?
Yes. Coffee County Hospital Group, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coffee County Hospital Group, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Coffee County Hospital Group, Inc, in Family Practice and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Coffee County Hospital Group, Inc was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Coffee County Hospital Group, Inc · NPI 1215941646
Critical Access organization in Manchester, Tennessee. Organization record, active in the CMS NPPES registry since July 29, 2006.
## Identity
- **NPI:** 1215941646 (Entity type: Organization)
- **Enumerated:** July 29, 2006
- **Primary specialty:** General Acute Care Hospital - Critical Access · taxonomy 282NC0060X
- **Organization subpart:** No
- **Authorized official:** Robert Couch, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 481 INTERSTATE DR, Manchester, TN 37355-3108
- **Phone:** (931) 728-6354 · **Fax:** (931) 728-5420
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Internal Medicine (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 2, 2016
- **Other identifiers:** Medicare ID-Type Unspecified 44-1308 (TN); Medicaid 0441308 (TN); Other 1000063 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1215941646) · Data from the CMS NPPES public registry.