PHC-CLEVELAND INC (NPI# 1306142062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306142062 |
| Entity Type | Organization |
| Organization Name | PHC-CLEVELAND INC |
| Other Organization Name | BOLIVAR MEDICAL CENTER |
| Practice Address |
901 E Sunflower Rd Cleveland MS 38732-2833 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 6628460061 |
| Practice Fax Number | 6628462380 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2011-01-28 |
| 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 | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Bolivar Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770889461 | Phc-cleveland Inc | Medicare Defined Swing Bed Unit | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2011-01-28 |
| 1851565170 | Phc-cleveland Inc | Family Medicine | 1 Hospital Drive, Cleveland, MS 38732-2425 | 2008-04-17 |
| 1528158532 | Phc-cleveland Inc | Radiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2006-10-13 |
| 1457321036 | Phc-cleveland Inc | General Acute Care Hospital | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2006-01-25 |
| Street Address |
901 E SUNFLOWER RD |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326032665 | Jack Bittell Sewell | Radiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2005-09-01 |
| 1356733265 | G & G Health Services, LLC | Specialist | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2015-03-02 |
| 1962822692 | Catherine Tanner Petzinger | Surgery | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2014-04-21 |
| 1770889461 | Phc-cleveland Inc | Medicare Defined Swing Bed Unit | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2011-01-28 |
| 1194048231 | Delta Radiology Pllc | Radiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2010-03-03 |
| 1952537938 | Nouveau Anesthesia Medical Group | Anesthesiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2009-06-04 |
| 1396996997 | Acs Emergency Services of Mississippi Professional Association | Physician Assistant | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2008-10-02 |
| 1891968327 | Edward Kofi Lartevi Md Pmc | Emergency Medicine | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2008-04-04 |
| 1306916937 | Bolivar Pathology Services | Clinical Medical Laboratory | 901 E Sunflower Rd, 901 Hwy 8 East, Cleveland, MS 38732-2833 | 2006-11-09 |
| 1528158532 | Phc-cleveland Inc | Radiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| 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 |
|---|---|---|---|---|
| 1023630761 | Winter Spring Health Services | Psychiatric Unit | 13509 Highlandview Ave, Cleveland, OH 44135-1622 | 2020-05-16 |
| 1053944967 | University Hospitals Cleveland Medical Center | Psychiatric Unit | 5805 Euclid Ave Ste 100, Cleveland, OH 44103-3715 | 2020-02-19 |
| 1669559811 | University Hospitals Cleveland Medical Center | Psychiatric Unit | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-11-01 |
| 1376579532 | Southwest General Health Center | Psychiatric Unit | 18697 Bagley Rd, Cleveland, OH 44130-3417 | 2006-06-22 |
| 1003854951 | Lutheran Hospital | Psychiatric Unit | 1730 W 25th St, Cleveland, OH 44113-3108 | 2006-06-03 |
| 1881631471 | Metrohealth System | Psychiatric Unit | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2006-06-01 |
| 1245283050 | Cleveland Clinic Health System - East Region | Psychiatric Unit | 13951 Terrace Rd, Cleveland, OH 44112-4308 | 2006-05-19 |
| 1154395820 | St Vincent Charity Medical Center | Psychiatric Unit | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2006-02-17 |
| 1831160753 | Cleveland Tennessee Hospital Company LLC | Psychiatric Unit | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407269756 | East Mississippi State Hospital | Psychiatric Unit | 1401 College Dr, Meridian, MS 39307-5345 | 2014-06-04 |
| 1699803395 | Walter Robert Jones Jr. | Psychiatric Unit | Hwy 468, Hudspeth Regional Center, Whitfield, MS 39193 | 2007-03-02 |
| 1740228881 | Vicksburg Healthcare LLC | Psychiatric Unit | 1111 N Frontage Rd, Vicksburg, MS 39180-5102 | 2006-06-02 |
| 1306803481 | George County Hospital | Psychiatric Unit | 859 Winter Steet, Lucedale, MS 39452-6603 | 2006-05-01 |
| 1457330995 | South Mississippi State Hospital | Psychiatric Unit | 823 Highway 589, Purvis, MS 39475-4194 | 2006-01-12 |
| 1831184951 | Alliance Health Center Inc | Psychiatric Unit | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2005-09-14 |
| 1801414115 | Singing River Gulfport | Psychiatric Unit | 15200 Community Rd, Gulfport, MS 39503-3085 | 2020-07-13 |
| 1679036313 | Progressive Medical Management of Batesville LLC | Psychiatric Unit | 155 Keating Rd, Batesville, MS 38606-2901 | 2019-04-10 |
| 1689191629 | Boa Vida Hospital of Aberdeen, Ms, LLC | Psychiatric Unit | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-08-29 |
| 1033643937 | Batesville Regional Medical Center, Inc. | Psychiatric Unit | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2017-04-18 |
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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.