Provider Demographics
NPI:1700036696
Name:ROANE COUNTY MEDICAL CENTER
Entity Type:Organization
Organization Name:ROANE COUNTY MEDICAL CENTER
Other - Org Name:ROANE MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:865-374-3090
Mailing Address - Street 1:8045 ROANE MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:HARRIMAN
Mailing Address - State:TN
Mailing Address - Zip Code:37748-8333
Mailing Address - Country:US
Mailing Address - Phone:865-316-1000
Mailing Address - Fax:865-316-3700
Practice Address - Street 1:8045 ROANE MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:TN
Practice Address - Zip Code:37748-8333
Practice Address - Country:US
Practice Address - Phone:865-316-1000
Practice Address - Fax:865-316-3700
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COVENANT HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-26
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000098282N00000X
291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN440031Medicare Oscar/Certification