NATIONAL HEALTHCARE OF CLEVELAND NC (NPI# 1255302006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255302006 |
Entity Type | Organization |
Organization Name | NATIONAL HEALTHCARE OF CLEVELAND NC |
Other Organization Name | SKYRIDGE MEDICAL CENTER |
Practice Address |
2800 Westside Dr Nw Cleveland TN 37312-3501 |
Mailing Address |
Po Box 198029 Atlanta GA 30384-8029 |
Practice Telephone | 4233394100 |
Practice Fax Number | 4233394372 |
Enumeration Date | 2006-01-30 |
Last Update Date | 2008-01-28 |
Authorized Official Name | WILLIAM HUSSEY (SENIOR VP, GROUP OPERATIONS) |
Authorized Official Telephone | 8883739600 |
Is Organization Subpart | Y |
Parent Organization Name | NATIONAL HEALTHCARE OF CLEVELAND, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | 0000000006 | TN | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS | 1000017 | 01 | |
TN | 0440185 | 05 |
Other Name | Type Code |
---|---|
Skyridge Medical Center | Doing Business As Name - Organization |
Street Address |
2800 WESTSIDE DR NW |
City | CLEVELAND |
State | TN |
Zip Code | 37312-3501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487651824 | Jonathan David Mcallister II | Internal Medicine | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2005-06-30 |
1669942769 | Adrianna Payne Sifford | Counselor | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2018-11-30 |
1851717094 | Chattanooga Psychiatry Clinic Pllc | Psychiatry & Neurology | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2014-03-12 |
1801168562 | Tennessee Cancer Specialists | Internal Medicine | 2800 Westside Dr Nw, Sky Ridge Medical Center West Campus, Cleveland, TN 37312-3501 | 2012-01-27 |
1376723379 | Cleveland Tennessee Hospital Company LLC | Internal Medicine | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2007-11-07 |
1851595300 | Internal Medicine & Wound Consultants, Inc | Internal Medicine | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2007-06-11 |
1033227608 | Community Anesthesia, PC | Anesthesiology | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-08-25 |
1679585798 | Mohsin Ali | Psychiatry & Neurology | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-08-13 |
1023048030 | Diagnostic Radiology of Cleveland, PC | Radiology | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-07-04 |
1831160753 | Cleveland Tennessee Hospital Company LLC | Psychiatric Unit | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-01-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
1053975243 | Christian Joy Mcgirt | Counselor | 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 | 2019-04-24 |
1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
1508342221 | Andre L James | Case Manager/Care Coordinator | 2600 Executive Drive, Cleveland, TN 37312 | 2018-07-16 |
1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
1669992285 | Nurseprofessionals | Licensed Practical Nurse | 2901 Peerless Road, Cleveland, TN 37312 | 2017-06-24 |
1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
Find all providers in zip 37312 |
Taxonomy Code | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Notes: Source: Code of Federal Regulations #42, Section 482.66. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932170990 | Cleveland Regional Medical Center Lp | Medicare Defined Swing Bed Unit | 300 E Crockett St, Cleveland, TX 77327-4029 | 2006-01-30 |
1518580893 | Cleveland Tennessee Hospital Company LLC | Medicare Defined Swing Bed Unit | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2020-05-21 |
1578947818 | Metrohealth | Medicare Defined Swing Bed Unit | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2015-07-16 |
1770889461 | Phc-cleveland Inc | Medicare Defined Swing Bed Unit | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2011-01-28 |
1881831774 | Cleveland Area Hospital Holdings, Inc. | Medicare Defined Swing Bed Unit | 1401 West Pawnee, Cleveland, OK 74020 | 2009-01-14 |
1093831422 | Cleveland Healthcare Properties, LLC | Medicare Defined Swing Bed Unit | 1401 W Pawnee, Cleveland, OK 74020-3033 | 2007-03-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134655731 | West Tennessee Rehabilitation Hospital, LLC | Medicare Defined Swing Bed Unit | 180 Mount Pelia Road, Martin, TN 38237 | 2017-05-03 |
1073622007 | Chattanooga Hamilton County Hospital Authority | Medicare Defined Swing Bed Unit | 71 Wheelertown Avenue, Pikeville, TN 37367 | 2006-08-30 |
1598734352 | Rebound LLC | Medicare Defined Swing Bed Unit | 190 Mount Pelia Rd, Martin, TN 38237-3812 | 2006-03-15 |
1821060930 | Martin Health | Medicare Defined Swing Bed Unit | 161 Mount Pelia Rd, Martin, TN 38237-3811 | 2006-02-02 |
1518957950 | Bolivar General Hospital, Inc. | Medicare Defined Swing Bed Unit | 650 Nuckolls Rd, Bolivar, TN 38008-1532 | 2005-10-26 |
1952900920 | Vanderbilt Bedford Hospital, LLC | Medicare Defined Swing Bed Unit | 2835 Highway 231 N, Shelbyville, TN 37160-7327 | 2020-10-21 |
1750904041 | Tullahoma Hma LLC | Medicare Defined Swing Bed Unit | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2020-05-21 |
1427671718 | Clarksville Health System Gp | Medicare Defined Swing Bed Unit | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2020-05-21 |
1417570961 | Metro Knoxville Hma LLC | Medicare Defined Swing Bed Unit | 7565 Dannaher Dr, Powell, TN 37849-4029 | 2020-05-19 |
1356973663 | Lauderdale Community Hospital LLC | Medicare Defined Swing Bed Unit | 326 Asbury Ave, Ripley, TN 38063-5577 | 2020-02-05 |
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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.