STATE OF TENNESSEE F&A PAYROLL (NPI# 1306818265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306818265 |
| Entity Type | Organization |
| Organization Name | STATE OF TENNESSEE F&A PAYROLL |
| Other Organization Name | MOCCASIN BEND MENTAL HEALTH INSTITUTE |
| Practice Address |
100 Moccasin Bend Rd Chattanooga TN 37405-4415 |
| Practice Telephone | 4232652271 |
| Practice Fax Number | 4238753454 |
| Mailing Telephone | 4232652271 |
| Mailing Fax Number | 4238753454 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-04-09 |
| Authorized Official Name | MR. ERIC TRESCHL (ADMINISTRATOR) |
| Authorized Official Telephone | 4237853321 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF TENNESSEE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3282227 | 05 |
| Other Name | Type Code |
|---|---|
| Moccasin Bend Mental Health Institute | Doing Business As Name - Organization |
| Street Address |
100 MOCCASIN BEND RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37405-4415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235648437 | Rachel Ann Looney | Family Medicine | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2017-09-20 |
| 1558805424 | Madeleine Mercedes Ramirez | Nurse Practitioner | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2016-12-13 |
| 1568822930 | April Deanne Horton | Clinical Nurse Specialist | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2016-02-29 |
| 1437425949 | Audrey Hime | Psychiatry & Neurology | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2012-03-29 |
| 1346545159 | Melisa Couey | Psychiatry & Neurology | 100 Moccasin Bend Rd, Chattanooga, TN 37405 | 2011-01-26 |
| 1598906109 | Emelito R. Pinga | Family Medicine | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2009-03-11 |
| 1336320886 | Minnie Bernice Troupe | Clinical Nurse Specialist | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2007-11-26 |
| 1003032004 | Timothy Donald Woodward | Pharmacist | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2007-04-18 |
| 1912123910 | Jeffrey A Flanagan | Pharmacist | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2007-04-18 |
| 1225176654 | Quentin L Fannin | Family Medicine | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878059 | Natasha A Anderson | Social Worker | 711 Signal Mountain Rd., 241, Chattanooga, TN 37405 | 2020-10-16 |
| 1093340333 | Dave Aitken | Chiropractor | 110 Woodland Ave., Chattanooga, TN 37405 | 2020-03-06 |
| 1285127944 | Kristin Stark | Marriage & Family Therapist | 1307 Hixson Pike, Chattanooga, TN 37405 | 2018-06-07 |
| 1205339033 | Ignite Chiropractic, LLC | Chiropractor | 200 Manufacturers Rd, Ste 210, Chattanooga, TN 37405 | 2018-03-18 |
| 1710486881 | Alexis Beasley Gaylor | Specialist/Technologist | 1185 Mountian Creek Road, Apt 405, Chattanooga, TN 37405 | 2018-02-05 |
| 1821538562 | Red Bank Operations, LLC | Skilled Nursing Facility | 1020 Runyan Drive, Chattanooga, TN 37405 | 2017-02-28 |
| 1619414166 | Jacquelyn Ann Casey | Social Worker | 201 Frazier Avenue, Suite E, Chattanooga, TN 37405 | 2017-01-23 |
| 1154876746 | Joan Stewart Mickles | Counselor | 9 Fairhills Drive, Chattanooga, TN 37405 | 2016-08-24 |
| 1750741088 | Weena Rivera | Counselor | 936 Mountain Creek Rd E-59, Apt E59, Chattanooga, TN 37405 | 2016-02-29 |
| 1063814515 | Mcallister Personal Care Consultants | Home Health | 419 N. Market Street, Chattanooga, TN 37405 | 2014-09-16 |
| Find all providers in zip 37405 | ||||
| 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 |
|---|---|---|---|---|
| 1558319863 | Parkridge Medical Center, Inc. | Psychiatric Unit | 2200 Morris Hill Rd, Chattanooga, TN 37421-2818 | 2006-05-05 |
| 1194991232 | Parkridge Medical Center, Inc. | Psychiatric Unit | 941 Spring Creek Rd, Chattanooga, TN 37412-3909 | 2008-05-07 |
| 1083755987 | Parkridge Medical Center, Inc. | Psychiatric Unit | 2200 Morris Hill Rd, Chattanooga, TN 37421-2818 | 2007-02-12 |
| 1548366719 | Chattanooga Hamilton County Hospital Authority | Psychiatric Unit | 632 Morrison Springs Rd, Chattanooga, TN 37415 | 2006-09-15 |
| 1831139773 | Parkridge Medical Center, Inc. | Psychiatric Unit | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2006-06-08 |
| 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 |
| 1295792125 | Baptist Memorial Hospital- Lauderdale | Psychiatric Unit | 326 Asbury Ave, Ripley, TN 38063-5577 | 2006-04-26 |
| 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 |
| 1477117273 | Vanderbilt University Medical Center | Psychiatric Unit | 500 Park Ave, Lebanon, TN 37087-3721 | 2019-04-26 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37405 |
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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.