NORTHCREST MEDICAL CENTER (NPI# 1376025114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376025114 |
| Entity Type | Organization |
| Organization Name | NORTHCREST MEDICAL CENTER |
| Practice Address |
100 Northcrest Dr Springfield TN 37172 |
| Mailing Address |
Po Box 305172 Nashville TN 37230-5172 |
| Practice Telephone | 6153842411 |
| Practice Fax Number | 6153825776 |
| Mailing Telephone | 6153841571 |
| Mailing Fax Number | 6153825776 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | RANDALL K DAVIS (CEO) |
| Authorized Official Telephone | 6153842411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 0000000099 | TN | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0440065 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487099776 | Northcrest Medical Center | Clinic/Center | 520 Northcrest Dr, Springfield, TN 37172-4066 | 2013-05-01 |
| 1699850180 | Northcrest Medical Center | Hospice Care, Community Based | 101e Mooreland Drive, Springfield, TN 37172-3974 | 2006-10-25 |
| 1669567897 | Northcrest Medical Center | General Acute Care Hospital | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2006-10-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHCREST MEDICAL CENTER | 100 Northcrest Dr, Springfield, TN 37172-3927 |
| Street Address |
100 NORTHCREST DR |
| City | SPRINGFIELD |
| State | TN |
| Zip Code | 37172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073594099 | John Jason James | Emergency Medicine | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2005-11-08 |
| 1467082511 | Jessica Lynn Williams | Registered Nurse | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2020-01-16 |
| 1487298980 | Keith Richard Kuboske | Pharmacist | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2019-10-29 |
| 1811405236 | Todd M Perkins | Nurse Anesthetist, Certified Registered | 100 Northcrest Dr, Springfield, TN 37172 | 2018-01-19 |
| 1104378538 | Matthew Stewart | Nurse Anesthetist, Certified Registered | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2016-11-02 |
| 1265897177 | William Claude England Iv | Nurse Anesthetist, Certified Registered | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2015-12-18 |
| 1699177162 | Cep America LLC | Physician Assistant | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2014-09-16 |
| 1023435724 | Michelle Marie Breedlove | Nurse Practitioner | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2014-03-20 |
| 1417370479 | Seleana Miller | Nurse Anesthetist, Certified Registered | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2014-01-28 |
| 1013342062 | Emily Hurd Saldana | Physician Assistant | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2013-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859376 | Results-ast Jv, LLC | Physical Therapist | 3556 Tom Austin Highway, Suite 2, Springfield, TN 37172 | 2020-10-21 |
| 1871107482 | Springfield Residential, LLC | Assisted Living Facility | 2530 South Main Street, Springfield, TN 37172 | 2020-09-01 |
| 1922610427 | Jenae Annette Rankin | Physical Therapist | Intelligent Therapy, 719 South Main Street, Springfield, TN 37172 | 2020-08-18 |
| 1043856297 | Jeffrey Brian Barnes | Pharmacist | 100 Northcrest Dr., Pharmacy, Springfield, TN 37172 | 2019-11-22 |
| 1407407968 | Sadie L Shields | Speech-Language Pathologist | Its 3131 Tom Austin Highway, Springfield, TN 37172 | 2019-09-26 |
| 1871148965 | Austin Chhut | Occupational Therapy Assistant | Intelligent Therapy Staffing, 3131 Tom Austin Hwy, Springfield, TN 37172 | 2019-08-06 |
| 1013409887 | Springfield Pediatric Dentistry | Dentist | 3130 Tom Austin Hwy Ste B, Springfield, TN 37172 | 2018-06-06 |
| 1083163752 | The Ridge | Counselor | 514 Hill Street, Springfield, TN 37172 | 2016-09-23 |
| 1902255516 | Dionna Marino | Case Manager/Care Coordinator | 731 Cheatham Street, Springfield, TN 37172 | 2016-06-06 |
| 1174964258 | Molly Williams | Registered Nurse | 800 S. Brown Street, Springfield, TN 37172 | 2013-07-17 |
| Find all providers in zip 37172 | ||||
| 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 |
|---|---|---|---|---|
| 1285727297 | Southeast Colorado Hospital District | Medicare Defined Swing Bed Unit | 373 E 10th Ave, Springfield, CO 81073-1622 | 2006-10-02 |
| 1811962756 | Effingham Hospital, Inc. | Medicare Defined Swing Bed Unit | 459 Hwy 119 S, Springfield, GA 31329-3021 | 2006-02-22 |
| 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 |
| 1518580893 | Cleveland Tennessee Hospital Company LLC | Medicare Defined Swing Bed Unit | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2020-05-21 |
| 1417570961 | Metro Knoxville Hma LLC | Medicare Defined Swing Bed Unit | 7565 Dannaher Dr, Powell, TN 37849-4029 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 37172 |
Please comment or provide details below to improve the information on NORTHCREST MEDICAL CENTER.
| 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.