BEHAVIORAL HEALTH OF ROCKY TOP, LLC (NPI# 1174033906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174033906 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL HEALTH OF ROCKY TOP, LLC |
| Practice Address |
210 Industrial Park Dr Rocky Top TN 37769-2301 |
| Mailing Address |
Po Box 23376 Knoxville TN 37933-1376 |
| Practice Telephone | 8652188966 |
| Mailing Telephone | 8652188966 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2018-08-14 |
| Authorized Official Name | RON LAWRENCE (PRESIDENT) |
| Authorized Official Telephone | 8652188966 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEHAVIORAL HEALTH OF ROCKY TOP, LLC | 210 Industrial Park Ln, Rocky Top, TN 37769-2301 |
| Street Address |
210 INDUSTRIAL PARK DR |
| City | ROCKY TOP |
| State | TN |
| Zip Code | 37769-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609090265 | Sheila Marie Sparks | Occupational Therapist | 204 Industrial Park Road, Lake City, TN 37769 | 2007-04-12 |
| 1285793653 | Marks Pharmacy | Pharmacy | 106 Creek St, Lake City, TN 37769 | 2006-12-08 |
| 1154417996 | David Carl Dew | Pharmacist | 414 S. Main Street, Lake City, TN 37769 | 2006-10-05 |
| 1144775206 | April Freeman | Registered Nurse | 110 Industrial Park Ln, Rocky Top, TN 37769 | 2016-08-18 |
| 1235322181 | Mark Thomas Smith | Physician Assistant | 106 Creek St, Lake City, TN 37769 | 2007-08-23 |
| 1467645986 | Marks Pharmacy | Durable Medical Equipment & Medical Supplies | 106 Creek St, Lake City, TN 37769 | 2007-08-20 |
| 1316958986 | Corner Drug Co Inc | Pharmacy | 414 Main St, Lake City, TN 37769 | 2006-08-10 |
| 1487635348 | Ronald E. Noe | Dentist | 305 S Main St, Lake City, TN 37769-2206 | 2005-11-08 |
| 1811523582 | Melanie Ann Ward | Dental Hygienist | 305 S Main St, Rocky Top, TN 37769-2206 | 2020-03-13 |
| 1104100064 | Leslie Denise Holmes-leach | Dentist | 305 S Main St, Rocky Top, TN 37769-2206 | 2011-10-10 |
| Find all providers in zip 37769 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104290667 | Michelle Mcconnell Spradley | General Acute Care Hospital | 5006 Dell Dr, Mount Juliet, TN 37122-4157 | 2015-11-20 |
| 1215301981 | Cheryl Hall Wideman | General Acute Care Hospital | 3721 Russell Hurst Dr E, Bartlett, TN 38135-1965 | 2015-11-18 |
| 1104206135 | Vanderbilt University | General Acute Care Hospital | 62 Parks Ln, Fayetteville, TN 37334-6642 | 2015-06-04 |
| 1306247515 | Fort Sanders Regional Medical Center | General Acute Care Hospital | 614 Emory Oak Ct, Knoxville, TN 37909-3439 | 2014-09-07 |
| 1740609130 | Select Specialty | General Acute Care Hospital | 2000 Hayes St Ste 1502, Nashville, TN 37203-2318 | 2014-04-14 |
| 1710301320 | Veronica Blackman | General Acute Care Hospital | 447 Shelley Renee Ln, Cordova, TN 38018-4310 | 2014-02-18 |
| 1962826107 | Hoke Steven Fitzgerald | General Acute Care Hospital | 1073 Smithfield Rd, Tellico Plains, TN 37385-6137 | 2014-02-07 |
| 1336560598 | Vanderbilt University Medical Center | General Acute Care Hospital | 607 Medical Arts Building, 1121 21st Avenue South, Nashville, TN 37232-1320 | 2013-12-13 |
| 1710314554 | Centennial | General Acute Care Hospital | 552 Metroplex Dr, Nashville, TN 37211-3133 | 2013-10-10 |
| 1326482167 | Ut College of Medicine Chattanooga | General Acute Care Hospital | 2830 Haywood Ave, Chattanooga, TN 37415-5939 | 2013-04-23 |
| Find all providers with the same taxonomy | ||||
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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.