BAPTIST MEMORIAL HOSPITAL- LAUDERDALE (NPI# 1295792125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295792125 |
| Entity Type | Organization |
| Organization Name | BAPTIST MEMORIAL HOSPITAL- LAUDERDALE |
| Practice Address |
326 Asbury Ave Ripley TN 38063-5577 |
| Practice Telephone | 7312212200 |
| Mailing Telephone | 7312212200 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2009-07-15 |
| Authorized Official Name | DARYL BLALACK (CEO) |
| Authorized Official Telephone | 7312212200 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAPTIST MEMORIAL HOSPITAL- LAUDERDALE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 00000088 | TN | Hospital Units |
| Street Address |
326 ASBURY AVE |
| City | RIPLEY |
| State | TN |
| Zip Code | 38063-5577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376175687 | Lauderdale Community Hospital LLC | General Acute Care Hospital | 326 Asbury Ave, Ripley, TN 38063-5577 | 2020-02-05 |
| 1356973663 | Lauderdale Community Hospital LLC | Medicare Defined Swing Bed Unit | 326 Asbury Ave, Ripley, TN 38063-5577 | 2020-02-05 |
| 1962034272 | Lauderdale Community Hospital LLC | Clinic/Center | 326 Asbury Ave, Ripley, TN 38063-5577 | 2020-02-05 |
| 1871916395 | Christy Tipton | Registered Nurse | 326 Asbury Ave, Ripley, TN 38063-5577 | 2014-02-04 |
| 1588911986 | Cah Acquisition Company 11 LLC | Surgery | 326 Asbury Ave, Suite 104, Ripley, TN 38063-5577 | 2012-08-06 |
| 1992069538 | Cah Acquisition Company 11 LLC | Surgery | 326 Asbury Ave, Ripley, TN 38063 | 2012-06-28 |
| 1144516964 | Jessica Revelle Rains | Physician Assistant | 326 Asbury Ave, Suite 101, Ripley, TN 38063-5577 | 2011-06-20 |
| 1821393422 | Northwest Tennessee Foot Clinic, Pllc | Podiatrist | 326 Asbury Ave, Suite #102, Ripley, TN 38063-5577 | 2011-01-13 |
| 1831400449 | Charles D Ford Jr. | Emergency Medicine | 326 Asbury Ave, Ripley, TN 38063-5577 | 2010-06-29 |
| 1962725242 | Cah Acquisition Company 11 LLC | Medicare Defined Swing Bed Unit | 326 Asbury Ave, Ripley, TN 38063 | 2010-03-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609327246 | Ld&h Specialized Care Services | Preferred Provider Organization | 2260 Us-51, Helen R Tucker Adult Dev Center, Ripley, TN 38063 | 2016-10-19 |
| 1477984508 | Mid-south Convenient Care, Pllc | Family Medicine | 521 Hwy 51 North, Ripley, TN 38063 | 2013-11-27 |
| 1285879577 | The Wellness Center of West Tn Inc | Technician | 171 Tucker Street, Ripley, TN 38063 | 2008-12-16 |
| 1023281185 | Aniko Vedette Campbell | Nurse Practitioner | 79 Highway 51 South, Christian Family Medicine, Ripley, TN 38063 | 2008-04-10 |
| 1275750556 | Annabelle Chua | Physical Therapist | 326 Asbury Rd, Ripley, TN 38063 | 2007-04-19 |
| 1073659058 | Thomas Ross Patterson | Dentist | 500 Hwy 51 South, Ripley, TN 38063 | 2007-01-29 |
| 1144370305 | State of Tennessee | Public Health or Welfare | 500 Highway 51 South, Ripley, TN 38063 | 2007-01-11 |
| 1669479036 | Syed A Zaidi | Specialist | 868 Highway 51 South, Suite 101, Ripley, TN 38063 | 2005-06-30 |
| 1558609628 | Citizens of Lake County for Health Care, Inc | Clinic/Center | 317 Cleveland St, Ripley, TN 38063 | 2013-01-24 |
| 1083962633 | James Matthew Harper | Optometrist | 479 S Washington St, Ripley, TN 38063 | 2012-08-29 |
| Find all providers in zip 38063 | ||||
| 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 |
|---|---|---|---|---|
| 1174907190 | Tippah County Hospital | Psychiatric Unit | 1005 City Ave N, Ripley, MS 38663-1414 | 2015-07-20 |
| 1174789861 | Tippah County Hospital | Psychiatric Unit | 1005 City Ave N, Ripley, MS 38663-1414 | 2008-08-01 |
| 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 |
| 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 |
| 1588212732 | Rural Hospitals and Clinics of America, Inc | Psychiatric Unit | 100 Old Jefferson St, Celina, TN 38551-4040 | 2019-08-30 |
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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.