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VANDERBILT TULLAHOMA-HARTON HOSPITAL
NPI 1891385316
Medicare Defined Swing Bed Unit in Tullahoma, TN

Active since January 19, 2021CLIA 44D2330931 · Waiver
1801 N JACKSON ST, TULLAHOMA, TN 37388(931) 393-3000 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2021, Jan 20, 2021 (2 updates tracked since 2021).

About Vanderbilt Tullahoma-harton Hospital NPPES

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

VANDERBILT TULLAHOMA-HARTON HOSPITAL (NPI 1891385316) is a healthcare organization registered as a medicare defined swing bed unit in Tullahoma, Tennessee and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Angela L Simmons, Vp - Finance, as its authorized official.

NPPES Registry Identity

NPI1891385316
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameVANDERBILT COFFEE HOSPITAL, LLC
Location Address1801 N JACKSON STTullahoma, TN 37388-8259
Mailing Address719 Thompson Ln Ste 30330Nashville, TN 37204-4701
Phone(931) 393-3000
Organization SubpartNo
Authorized OfficialAngela L SimmonsVp - Finance · (615) 936-8875
Enumeration DateJanuary 19, 2021
Last NPPES UpdateAugust 16, 20212 updates tracked since enumeration
NPPES CertifiedAugust 16, 2021
✔ NPI 1891385316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
Definition
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.
1801 N JACKSON ST, Tullahoma, TN 37388
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Other Names 1

Doing Business AsVanderbilt Tullahoma-harton Hospital

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2330931

Vanderbilt Tullahoma-Harton Hospital · Tullahoma, TN
Active · expires Sep 23, 2027
CLIA Number44D2330931
Laboratory TypeHospital
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorDr. Brent C. Sterling
Laboratory Phone(931) 393-7978
Laboratory LocationVanderbilt Tullahoma-Harton Hospital1801 N Jackson St, Tullahoma, TN 37388
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MS. PENNY CAROLYN TIPPS PT
Physical Therapist
1801 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 393-7964
ROBBIE M. WEBB N.P.
Nurse Practitioner
1801 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 461-4921
CARDIOLOGY GROUP, PC
Internal Medicine (Cardiovascular Disease)
1801 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 393-7831
TULLAHOMA HMA, LLC
Specialist
1801 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 393-7901
HIGHLAND RIM ANESTHESIA, P.C.
Anesthesiology
1801 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 455-3649
JAMES ESTES NP
Nurse Practitioner
1801 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 461-4584
ANJALIE JULIE JOSHI M.D.
Hospitalist
1801 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 393-3000
SHAWN P. ROSS CRNA
Nurse Anesthetist, Certified Registered
1801 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 393-7933

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 Vanderbilt Coffee Hospital, LLC's NPI number?

The NPI number for Vanderbilt Coffee Hospital, LLC is 1891385316. It was assigned to this organization in the NPPES registry on January 19, 2021. The provider is doing business as Vanderbilt Tullahoma-Harton Hospital.

Where is Vanderbilt Coffee Hospital, LLC located?

Vanderbilt Coffee Hospital, LLC is located at 1801 N Jackson St, Tullahoma, TN 37388. The listed phone number is (931) 393-3000.

What is Vanderbilt Coffee Hospital, LLC's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Does Vanderbilt Coffee Hospital, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2330931) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vanderbilt Coffee Hospital, LLC was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.