ST. MARY'S MEDICAL CENTER OF CAMPBELL COUNTY, INC.
NPI 1689749749
Durable Medical Equipment & Medical Supplies - Nursing Facility Supplies in La Follette, TN

Active since November 22, 2006
200 TORREY RD, LA FOLLETTE, TN 37766(423) 907-1379(423) 907-1189 Get Directions Write a Review

NPPES record last updated: September 21, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St. Mary's Medical Center Of Campbell County, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. MARY'S MEDICAL CENTER OF CAMPBELL COUNTY, INC. (NPI 1689749749) is a healthcare organization registered as a nursing facility supplies in La Follette, Tennessee and active in the NPI registry since November 2006. The organization lists Angel David Jimenez, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1689749749
Entity TypeOrganization
Primary Taxonomy332BN1400X
Legal Business NameST. MARY'S MEDICAL CENTER OF CAMPBELL COUNTY, INC.
Location Address200 TORREY RDLa Follette, TN 37766-2728
Mailing Address923 E Central AveLa Follette, TN 37766-2768 · (423) 907-1200 · Fax (423) 907-1164
Fax(423) 907-1189
Organization SubpartYesParent: Mercy Health Partners, Inc.
Authorized OfficialAngel David JimenezPresident & Ceo · (865) 545-7558
Enumeration DateNovember 22, 2006
Last NPPES UpdateSeptember 21, 2010
NPI 1689749749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

200 TORREY RD, La Follette, TN 37766

Other Identifiers 2

Medicare NSC4029560001TN
Medicaid1452065TN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
200 TORREY RD
LA FOLLETTE, TN 37766

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 St. Mary's Medical Center Of Campbell County, Inc.'s NPI number?

The NPI number for St. Mary's Medical Center Of Campbell County, Inc. is 1689749749. It was assigned to this organization in the NPPES registry on November 22, 2006.

Where is St. Mary's Medical Center Of Campbell County, Inc. located?

St. Mary's Medical Center Of Campbell County, Inc. is located at 200 Torrey Rd, La Follette, TN 37766. The listed phone number is (423) 907-1379.

What is St. Mary's Medical Center Of Campbell County, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Nursing Facility Supplies, with taxonomy code 332BN1400X.

When was this NPI record last updated?

The NPPES record for St. Mary's Medical Center Of Campbell County, Inc. was last updated on September 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.