CROCKETT HOSPITAL LLC (NPI# 1114003175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114003175 |
| Entity Type | Organization |
| Organization Name | CROCKETT HOSPITAL LLC |
| Other Organization Name | SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG |
| Practice Address |
1607 S Locust Ave Lawrenceburg TN 38464-4011 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 9317626571 |
| Practice Fax Number | 9317663339 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | KATHY J. TEAGUE (ASSISTANT VICE PRESIDENT, SECRETARY) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
0000000087 | TN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0440175 | 05 | |
| MS | 09400008 | 05 | |
| AL | HOS0175N | 05 | |
| LA | 1762067 | 05 | |
| GA | 000171091X | 05 |
| Other Name | Type Code |
|---|---|
| Southern Tennessee Regional Health System Lawrenceburg | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574664 | Crockett Hospital LLC | Family Medicine | 722 N Military St, Loretto, TN 38469-2336 | 2019-05-20 |
| 1336274612 | Crockett Hospital LLC | Internal Medicine | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2007-02-23 |
| 1790864288 | Crockett Hospital LLC | Rehabilitation Unit | 1607 S Locust Ave, Lawrenceburg, TN 38464 | 2006-11-03 |
| Street Address |
1607 S LOCUST AVE |
| City | LAWRENCEBURG |
| State | TN |
| Zip Code | 38464-4011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629017751 | Thomas W Doss | Physician Assistant | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2006-06-05 |
| 1902435811 | Maureen C Toy | Dietitian, Registered | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2020-04-02 |
| 1437792694 | Megan Elizabeth Newton | Registered Nurse | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2019-10-21 |
| 1518472109 | Casey M Spirk | Physician Assistant | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2017-12-05 |
| 1033553607 | Matthew B Neal | Emergency Medicine | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2013-04-24 |
| 1720212038 | Crockett Hospital, LLC | Medicare Defined Swing Bed Unit | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2009-05-14 |
| 1336274612 | Crockett Hospital LLC | Internal Medicine | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2007-02-23 |
| 1790864288 | Crockett Hospital LLC | Rehabilitation Unit | 1607 S Locust Ave, Lawrenceburg, TN 38464 | 2006-11-03 |
| 1073531042 | James David Grippo | Radiology | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2006-07-18 |
| 1952340697 | Dan S Powell | Emergency Medicine | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265099782 | Yolande P Parson | Social Worker | 1236 1st Ave, Lawrenceburg, TN 38464 | 2019-05-20 |
| 1457878928 | Sheila Ann Turpen | Occupational Therapist | 2380 Buffalo Road, Lawrenceburg, TN 38464 | 2017-08-25 |
| 1790035863 | Donna Cheryll Collins | Nurse Practitioner | 129 South Locust Ave, Lawerenceburg, TN 38464 | 2012-09-14 |
| 1548558943 | John T. Will, D.d.s. | Dentist | 234 East Gaines St, Lawrenceburg, TN 38464 | 2011-07-19 |
| 1093008476 | James Lawson Sullenger | Pharmacist | 2201 North Locust Ave, Lawrenceburg, TN 38464 | 2011-05-18 |
| 1346412624 | Respi-care Inc. | Durable Medical Equipment & Medical Supplies | 14 Public Square, Lawrenceburg, TN 38464 | 2008-03-27 |
| 1215144936 | Amg-crockett, LLC | Urology | Us Highway 43 South, Lawrenceburg, TN 38464 | 2007-05-16 |
| 1548472715 | Lawrence County Senior Citizens Club Inc | Non-emergency Medical Transport (VAN) | 220 Centennial Blvd., Lawrenceburg, TN 38464 | 2007-05-03 |
| 1316169345 | Bernard T Beuerlein | Pharmacist | 111 North Columbia Ave, Lawrenceburg, TN 38464 | 2007-05-02 |
| 1528289188 | Richard Dean Jennings | Pharmacist | 11 Public Square, Lawrenceburg, TN 38464 | 2007-05-01 |
| Find all providers in zip 38464 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
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|---|---|---|---|---|
| 1518588169 | Cherokee Mountain Medical, PC | General Acute Care Hospital | 543 Cherokee Mountain Rd, Jonesborough, TN 37659-6638 | 2020-05-05 |
| 1588679898 | Jellico Community Hospital Inc. | General Acute Care Hospital | 188 Hospital Lan, Jellico, TN 37762-4400 | 2006-07-29 |
| 1013969179 | Coffee Medical Group LLC | General Acute Care Hospital | 481 Interstate Dr, Manchester, TN 37355-3108 | 2006-05-17 |
| 1154782019 | Takoma Regional Hospital | General Acute Care Hospital | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2016-03-18 |
| 1023251923 | Claiborne County Hospital Claiborne County Ambulance | General Acute Care Hospital | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2009-04-08 |
| 1366611394 | Decatur County General Hospital | General Acute Care Hospital | 969 Tennessee Ave S, Parsons, TN 38363-3700 | 2008-02-25 |
| 1477698587 | Claiborne County Hospital Pharmacy | General Acute Care Hospital | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2007-02-20 |
| 1881613909 | Takoma Hospital & Sanitarium Training School, Inc. | General Acute Care Hospital | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2006-07-19 |
| 1396760542 | Livingston Regional Hospital LLC | General Acute Care Hospital | 315 Oak St, Livingston, TN 38570-1728 | 2006-07-12 |
| 1528090669 | Henry County Medical Center | General Acute Care Hospital | 301 Tyson Ave, Paris, TN 38242-4544 | 2006-07-07 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEBURG |
| Zip Code | 38464 |
Please comment or provide details below to improve the information on CROCKETT HOSPITAL LLC.
| 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.