LAKELAND HOSPITAL ACQUISITION, LLC (NPI# 1386271054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386271054 |
| Entity Type | Organization |
| Organization Name | LAKELAND HOSPITAL ACQUISITION, LLC |
| Practice Address |
440 S Market Ave Springfield MO 65806-2026 |
| Mailing Address |
6100 Tower Cir Ste 1000 Franklin TN 37067-1509 |
| Practice Telephone | 4178655581 |
| Practice Fax Number | 4178655964 |
| Mailing Telephone | 6158616000 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |
| Authorized Official Name | CHRISTOPHER HOWARD (VICE PRESIDENT & SECRETARY) |
| Authorized Official Telephone | 6158616000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Lakeland Behavioral Health System | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720165327 | Lakeland Hospital Acquisition, LLC | Psychiatric Residential Treatment Facility | 440 South Market Ave, Springfield, MO 65806-2026 | 2006-11-01 |
| 1205095569 | Lakeland Hospital Acquisition, LLC | Psychiatric Residential Treatment Facility | 440 S Market Ave, Springfield, MO 65806-2026 | 2008-06-03 |
| Street Address |
440 S MARKET AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65806-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851372601 | Mary Katherine Brinkman | Physician Assistant | 440 S Market Ave, Springfield, MO 65806-2026 | 2005-11-09 |
| 1669093852 | Sara Shryack Wolf | Social Worker | 440 S Market Ave, Springfield, MO 65806-2026 | 2020-04-29 |
| 1437612082 | Claudia Lizeth Moncada Maldonado | Social Worker | 440 S Market Ave, Springfield, MO 65806-2026 | 2019-04-10 |
| 1275018335 | Heather M Freeman | Counselor | 440 S Market Ave, Springfield, MO 65806-2026 | 2018-09-25 |
| 1902308620 | Courtney Treat | Physician Assistant | 440 S Market Ave, Springfield, MO 65806-2026 | 2018-03-08 |
| 1154714863 | Rebecca Granden | Social Worker | 440 S Market Ave, Springfield, MO 65806-2026 | 2015-03-05 |
| 1912248949 | Sarah Marie Young | Physician Assistant | 440 S Market Ave, Springfield, MO 65806-2026 | 2013-03-15 |
| 1013253186 | Elizabeth Marie Mendenhall | Social Worker | 440 S Market Ave, Springfield, MO 65806-2026 | 2012-12-18 |
| 1780907337 | Matthew D. Weatherly | Counselor | 440 S Market Ave, Springfield, MO 65806-2026 | 2010-03-10 |
| 1043545197 | Pamela Lee Wantuck | Social Worker | 440 S Market Ave, Springfield, MO 65806-2026 | 2009-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437614625 | Jaleesa Warnay Westmoreland-ginger | Specialist/Technologist | 609 East Cherry Street, Sports Medicine and Athletic Training Suite 600, Springfield, MO 65806 | 2019-02-01 |
| 1609359116 | Stacy Johnson | Social Worker | 134 West Park Central Sq, Springfield, MO 65806 | 2018-09-11 |
| 1801312871 | Scott Lewis Stegeman | Specialist/Technologist | 609 E Cherry St, Springfield, MO 65806 | 2017-08-21 |
| 1154787638 | Alicia R. Thomas | Nurse Practitioner | 618 N. Benton, Springfield, MO 65806 | 2016-01-13 |
| 1972938231 | Karah Nicole Domenico | Dietitian, Registered | 205 Park Central East Ste. 217, Springfield, MO 65806 | 2013-09-05 |
| 1386766921 | Mary Ann Wood Smith | Counselor | 305 East Walnut, Suite 103, Springfield, MO 65806 | 2007-04-04 |
| 1811023161 | Yvonda Schwartz | Counselor | 1212 W Lombard, Great Circle, Springfield, MO 65806 | 2007-02-23 |
| 1861579880 | Richard Chalon Aiken | Psychiatry & Neurology | 440 S Market Street, Springfield, MO 65806 | 2006-11-01 |
| 1093806671 | Clint A Strong | Family Medicine | 440 E. Tampa St, Springfield, MO 65806 | 2006-09-27 |
| 1609835164 | Ray E. Burmood | Social Worker | 614 South Street, Springfield, MO 65806 | 2006-03-22 |
| Find all providers in zip 65806 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033397138 | Springfield Hospital, Inc. | Psychiatric Hospital | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2008-01-31 |
| 1467430124 | Illinois Department of Human Services | Psychiatric Hospital | 901 Southwind Dr, Springfield, IL 62703-5125 | 2006-01-04 |
| 1417948407 | Mental Health Services for Clark Co Inc. | Psychiatric Hospital | 474 North Yellow Springs Street, Springfield, OH 45504-2463 | 2005-10-31 |
| 1194211037 | Springfield Behavioral Hospital, LLC | Psychiatric Hospital | 2828 N National Ave, Springfield, MO 65803-4306 | 2018-07-03 |
| 1821524034 | Ozarks Community Hospital, Inc. | Psychiatric Hospital | 2828 N National Ave, Springfield, MO 65803-4306 | 2017-05-08 |
| 1619318557 | Springfield Hospital Inc | Psychiatric Hospital | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2013-07-08 |
| 1285803007 | Springfield Hospital, Inc | Psychiatric Hospital | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2008-02-26 |
| 1386798627 | Dhs Central Pharmacy | Psychiatric Hospital | 901 Southwind Dr, Springfield, IL 62703-5125 | 2007-01-23 |
| 1093740128 | Lester E Cox Medical Centers | Psychiatric Hospital | 3801 S National Ave, Springfield, MO 65807-5210 | 2006-07-11 |
| 1114924768 | Sgoh Acquisition Inc | Psychiatric Hospital | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2005-06-28 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65806 |
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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.