HILLSIDE HOSPITAL LLC (NPI# 1023193968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023193968 |
| Entity Type | Organization |
| Organization Name | HILLSIDE HOSPITAL LLC |
| Other Organization Name | SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI - PSYCHIATRIC UNIT |
| Practice Address |
1265 E College St Pulaski TN 38478-4541 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 9313637531 |
| Practice Fax Number | 9313639303 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | KATHY J. TEAGUE (ASSISTANT VICE PRESIDENT, SECRETARY) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | Y |
| Parent Organization Name | HILLSIDE HOSPITAL LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Southern Tennessee Regional Health System Pulaski - psychiatric unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770666224 | Hillside Hospital LLC | Medicare Defined Swing Bed Unit | 1265 E College St, Pulaski, TN 38478-4541 | 2006-10-20 |
| 1841388519 | Hillside Hospital LLC | Rehabilitation, Substance Use Disorder Unit | 1265 E College St, Pulaski, TN 38478-4541 | 2006-10-10 |
| Street Address |
1265 E COLLEGE ST |
| City | PULASKI |
| State | TN |
| Zip Code | 38478-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184623258 | Todd Jefferson Lucas | Surgery | 1265 E College St, Suite 9, Pulaski, TN 38478-4541 | 2005-07-20 |
| 1174087621 | Brandon Matt Fleming | Physical Therapist | 1265 E College St, Pulaski, TN 38478-4541 | 2019-01-29 |
| 1376082933 | Matthew Jesse Burns | Emergency Medicine | 1265 E College St, Pulaski, TN 38478-4541 | 2017-02-15 |
| 1669927257 | Amg - Hillside, LLC | Radiology | 1265 E College St, Pulaski, TN 38478-4541 | 2016-08-24 |
| 1780047506 | Pulaski Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1265 E College St, Pulaski, TN 38478-4541 | 2016-03-30 |
| 1699152686 | Mathios M Bayssie | Emergency Medicine | 1265 E College St, Pulaski, TN 38478-4541 | 2015-04-29 |
| 1689081630 | Hannah D Schimmer | Nurse Practitioner | 1265 E College St, Pulaski, TN 38478-4541 | 2014-07-22 |
| 1225450646 | Joseph E Hemmen Jr. | Nurse Anesthetist, Certified Registered | 1265 E College St, Pulaski, TN 38478-4541 | 2014-01-21 |
| 1477991743 | Insight Radiology Pllc | Radiology | 1265 E College St, Pulaski, TN 38478-4541 | 2013-06-10 |
| 1588934673 | Amg-hillside, LLC | Psychiatry & Neurology | 1265 E College St, Pulaski, TN 38478-4541 | 2012-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605250 | Debra Jean Burr | Technician | 1225 Braly Hollow Rd., Pulaski, TN 38478 | 2019-12-02 |
| 1104308006 | Haley Beecham Phillips | Nurse Practitioner | 311 Glendale Dr., Pulaski, TN 38478 | 2018-09-06 |
| 1730499088 | William Harwell Murrey | Family Medicine | 1000 Hicks Cut Rd, Pulaski, TN 38478 | 2010-10-19 |
| 1194993436 | Valerie S. Manning | Speech-Language Pathologist | 933 East College St., Pulaski, TN 38478 | 2008-02-20 |
| 1437360393 | Malcolm A Cox Jr. | Pediatrics | 1487 Milky Way Rd, Pulaski, TN 38478 | 2007-05-24 |
| 1134337025 | James Kenneth Webb | Dentist | 604 East College St, Pulaski, TN 38478 | 2007-05-21 |
| 1619182292 | Dr. John T Mann Dds | Dentist | 601 E College St, Pulaski, TN 38478 | 2007-05-14 |
| 1013138627 | Diane Hoffnagle Coggin | Dietitian, Registered | 209 Cedar Lane, Pulaski, TN 38478 | 2007-05-01 |
| 1710105499 | Amg-hillside LLC | Orthopaedic Surgery | 204 Hillside Drive, Pulaski, TN 38478 | 2007-04-20 |
| 1962628453 | Junipers of The World Inc | Registered Nurse | 1914 Minor Hill Hwy, Pulaski, TN 38478 | 2007-04-17 |
| Find all providers in zip 38478 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477018893 | Pulaski Community Hospital, Inc. | Psychiatric Unit | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2019-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376719419 | Hca Health Services of Tennessee, Inc. | Psychiatric Unit | 391 Wallace Road, Nashville, TN 37211-4851 | 2008-05-07 |
| 1831223635 | Lincoln Medical Center | Psychiatric Unit | 1681 Winchester Hwy, Fayetteville, TN 37334-2758 | 2007-03-15 |
| 1558499483 | Perry Community Hospital, LLC | Psychiatric Unit | 2718 Squirrel Hollow Dr, Linden, TN 37096-3526 | 2007-03-01 |
| 1760405849 | Wellmont Health System | Psychiatric Unit | 1905 American Way, Kingsport, TN 37660-5882 | 2006-07-26 |
| 1821030842 | Vanderbilt University Medical Center | Psychiatric Unit | 500 Park Avenue, Lebanon, TN 37087-3721 | 2006-06-12 |
| 1558319863 | Parkridge Medical Center, Inc. | Psychiatric Unit | 2200 Morris Hill Rd, Chattanooga, TN 37421-2818 | 2006-05-05 |
| 1295792125 | Baptist Memorial Hospital- Lauderdale | Psychiatric Unit | 326 Asbury Ave, Ripley, TN 38063-5577 | 2006-04-26 |
| 1306818265 | State of Tennessee F&a Payroll | Psychiatric Unit | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2006-02-06 |
| 1548241953 | Campbell County Hma, LLC | Psychiatric Unit | 923 E Central Ave, La Follette, TN 37766-2768 | 2005-11-11 |
| 1346854577 | Methodist Healthcare East Hospital | Psychiatric Unit | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.