Rural hospitals in Tennessee
45 listed hospitals. Critical access, rural emergency, and rural PPS — together in one place.
CMS snapshot: Q2 2026. Not a live status check.
Tennessee
Three types. One directory.
Critical access (CAH)
Small hospitals with inpatient beds and 24/7 emergency care. Medicare pays based on care costs.
Rural emergency (REH)
Emergency and outpatient care, without regular inpatient stays. Medicare uses a separate REH payment model.
Rural PPS
Rural hospitals in Medicare’s inpatient payment system. Medicare pays a set rate for each type of stay.
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45 hospitals in Tennessee
| Hospital | Type | Beds* |
|---|---|---|
Ascension Saint Thomas Dekalb Smithville, TN 37166 | Rural PPS | 71 |
Ascension Saint Thomas Hickman Centerville, TN 37033 | CAH | 25 |
Ascension Saint Thomas River Park Hospital Mcminnville, TN 37110 | Rural PPS | 125 |
Ascension Saint Thomas Three Rivers Waverly, TN 37185 | CAH | 25 |
Baptist Memorial Hospital - Carroll County Huntingdon, TN 38344 | Rural PPS | 70 |
Baptist Memorial Hospital Union City Union City, TN 38261 | Rural PPS | 137 |
Big South Fork Medical Center Oneida, TN 37841 | CAH | 25 |
Claiborne Medical Center Tazewell, TN 37879 | Rural PPS | 85 |
Cookeville Regional Medical Center Cookeville, TN 38501 | Rural PPS | 269 |
Cumberland Medical Center Crossville, TN 38555 | Rural PPS | 189 |
Erlanger Bledsoe Hospital Pikeville, TN 37367 | CAH | 31 |
Greeneville Community Hospital Greeneville, TN 37745 | Rural PPS | 140 |
Hancock County Hospital Sneedville, TN 37869 | CAH | 10 |
Hardin Medical Center Savannah, TN 38372 | Rural PPS | 58 |
Haywood County Community Hospital Brownsville, TN 38012 | Rural PPS | 9 |
Henderson County Community Hospital Lexington, TN 38351 | Rural PPS | 45 |
Highpoint Health-Riverview With Ascension Saint Th Carthage, TN 37030 | CAH | 35 |
Highpoint Health-Trousdale With Ascension Saint Hartsville, TN 37074 | CAH | 25 |
Houston County Community Hospital Erin, TN 37061 | CAH | 25 |
Johnson County Community Hospital Mountain City, TN 37683 | CAH | 2 |
Lauderdale Community Hospital Ripley, TN 38063 | CAH | 25 |
Leconte Medical Center Sevierville, TN 37862 | Rural PPS | 79 |
Lincoln Medical Center Fayetteville, TN 37334 | Rural PPS | 91 |
Livingston Regional Hospital Livingston, TN 38570 | Rural PPS | 110 |
Macon Community Hospital Lafayette, TN 37083 | CAH | 25 |
Marshall Medical Center Lewisburg, TN 37091 | CAH | 25 |
Perry Community Hospital Linden, TN 37096 | CAH | 25 |
Rhea Medical Center Dayton, TN 37321 | CAH | 25 |
Saint Thomas Highlands Hospital Sparta, TN 38583 | Rural PPS | 60 |
Southern Tennessee Regional Health System Lawrence Lawrenceburg, TN 38464 | Rural PPS | 96 |
Southern Tennessee Regional Health System Pulaski Pulaski, TN 38478 | Rural PPS | 95 |
Southern Tennessee Regional Health System Winchest Winchester, TN 37398 | Rural PPS | 152 |
Starr Regional Medical Center Athens Athens, TN 37371 | Rural PPS | 190 |
Sweetwater Hospital Association Sweetwater, TN 37874 | Rural PPS | 59 |
Tennova Healthcare - Newport Medical Center Newport, TN 37821 | Rural PPS | 74 |
Tristar Ashland City Medical Center Ashland City, TN 37015 | REH | — |
Unity Medical Center Manchester, TN 37355 | Rural PPS | 49 |
Vanderbilt Bedford Hospital Shelbyville, TN 37160 | Rural PPS | 104 |
Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN 37388 | Rural PPS | 135 |
Wayne Medical Center Waynesboro, TN 38485 | REH | — |
West Tennessee Healthcare Bolivar Hospital Bolivar, TN 38008 | CAH | 25 |
West Tennessee Healthcare Camden Hospital Camden, TN 38320 | CAH | 25 |
West Tennessee Healthcare Dyersburg Hospital Dyersburg, TN 38024 | Rural PPS | 225 |
West Tennessee Healthcare Henry County Hospital Paris, TN 38242 | Rural PPS | 142 |
West Tennessee Healthcare Volunteer Hospital Martin, TN 38237 | Rural PPS | 100 |
*CMS reported total beds, not beds available today or the CAH acute-bed limit. REHs do not offer regular inpatient stays; their bed count is not shown.
About this list
CAH and REH labels come from CMS provider types. Rural PPS means an active short-term hospital marked rural in CMS POS, matched by CMS ID to the FY 2026 IPPS file. This does not include every hospital that may qualify for a rural program.
Some CAHs and REHs sit in metro counties and still hold their Medicare status. This list excludes urban PPS hospitals, unverified microhospitals, and standalone ERs without one of these CMS types.
- CMS Provider of Services — Q2 2026 hospital file
- CMS FY 2026 IPPS final-rule impact file
- CMS provider-type and field definitions
Downloaded November 6, 2026. Different CMS files can have different counts and dates.