Provider Demographics
NPI:1881847614
Name:ROANE COUNTY MEDICAL CENTER
Entity Type:Organization
Organization Name:ROANE COUNTY MEDICAL CENTER
Other - Org Name:RMC MEDICAL EQUIPMENT AND SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EVP/CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:GEPPI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-374-6872
Mailing Address - Street 1:314 DEVONIA ST
Mailing Address - Street 2:
Mailing Address - City:HARRIMAN
Mailing Address - State:TN
Mailing Address - Zip Code:37748-2007
Mailing Address - Country:US
Mailing Address - Phone:865-882-1536
Mailing Address - Fax:865-882-1572
Practice Address - Street 1:314 DEVONIA ST
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:TN
Practice Address - Zip Code:37748-2007
Practice Address - Country:US
Practice Address - Phone:865-882-1536
Practice Address - Fax:865-882-1572
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROANE COUNTY MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-24
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000000635332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6208060001Medicare NSC