Fentress County Care & Rehabilitation Center

LBN: Hqm Of Jamestown, Llc
Fentress County Care & Rehabilitation Center is an health care organization with primary practice located at 208 Duncan St N , Jamestown TN 38556. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Hqm Of Jamestown, Llc can be contacted via phone (931) 879-5859, or through Walczak, Paul via phone (561) 627-0664.

Contact Information

Primary practice address
208 Duncan St N Jamestown TN 38556
Phone: (931) 879-5859
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walczak, Paul
Phone: (561) 627-0664

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0080 Tennessee
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0080 Tennessee

Profile Details

NPI number 1316926413
LBN Legal business name Hqm Of Jamestown, Llc
DBA Doing business as Fentress County Care & Rehabilitation Center
Authorized official Walczak, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316926413 NPPES
Tennessee MEDICAID 0445362
Tennessee MEDICAID 7440067

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