SAINT THOMAS RIVER PARK HOSPITAL, LLC (NPI# 1508247016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508247016 |
| Entity Type | Organization |
| Organization Name | SAINT THOMAS RIVER PARK HOSPITAL, LLC |
| Other Organization Name | ASCENSION SAINT THOMAS RIVER PARK |
| Practice Address |
1559 Sparta St Mcminnville TN 37110-1316 |
| Mailing Address |
102 Woodmont Blvd Ste 800 Nashville TN 37205-2287 |
| Practice Telephone | 9318154000 |
| Mailing Telephone | 6152846826 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | LISA R DAVIS (CFO) |
| Authorized Official Telephone | 6152846845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Ascension Saint Thomas River Park | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558742304 | Saint Thomas River Park Hospital, LLC | Clinic/Center | 145 Health Way, Mcminnville, TN 37110-2663 | 2015-06-17 |
| 1710368220 | Saint Thomas River Park Hospital, LLC | Rehabilitation Unit | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2015-06-11 |
| 1912388422 | Saint Thomas River Park Hospital, LLC | Psychiatric Unit | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2015-06-11 |
| 1518346469 | Saint Thomas River Park Hospital, LLC | General Acute Care Hospital | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2015-05-26 |
| Street Address |
1559 SPARTA ST |
| City | MCMINNVILLE |
| State | TN |
| Zip Code | 37110-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003813874 | Keith Phillip Webb | Internal Medicine | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2005-07-07 |
| 1871193771 | Jon Mark Ivey | Occupational Therapist | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2020-10-29 |
| 1851991756 | Rebecca Deann Lafevor | Occupational Therapist | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2020-10-29 |
| 1144834359 | Jason Wayne Cash | Nurse Anesthetist, Certified Registered | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2020-09-04 |
| 1689144081 | Anatoliy Smyrnov | Physical Therapist | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2018-11-28 |
| 1144756800 | Haley Smith | Emergency Medicine | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2017-05-02 |
| 1861925638 | Danielle Claflin | Emergency Medicine | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2017-04-07 |
| 1902279771 | Atlas Emergency Physicians, Pllc | Physician Assistant | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2015-11-03 |
| 1629441506 | Red Embers Emergency Physicians, LLC | Physician Assistant | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2015-11-02 |
| 1710368220 | Saint Thomas River Park Hospital, LLC | Rehabilitation Unit | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2015-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223984 | Ramila, LLC | Pharmacy | 2652, Old Nashville Hwy, Mcminnville, TN 37110 | 2020-10-22 |
| 1598319055 | Ashley Nicole Hobbs | Registered Nurse | 1401 Sparta Street, Mcminnville, TN 37110 | 2019-08-01 |
| 1033476734 | Samantha Brooke Johnson | Occupational Therapy Assistant | 928 Old Smithville Road, Mcminnville, TENNESSEE 37110 | 2012-04-18 |
| 1245500800 | Jennifer Ann Strunk | Social Worker | 306 N. Chancery Street, Mcminnville, TN 37110 | 2012-01-12 |
| 1477858322 | Nancy M Walker | Pharmacist | 912 N Chancery Street, Mcminnville, TN 37110 | 2011-01-24 |
| 1811225568 | Mcminnville Boarding Home for The Elderly | Assisted Living Facility | 345 Garfield St., Mcminnville, TN 37110 | 2009-11-18 |
| 1750571246 | Jeremy Lee Sanders | Pharmacist | 1100 New Smithville Hwy Suite 114, Mcminnville, TN 37110 | 2007-07-31 |
| 1144383522 | Britt Allan King | Occupational Therapist | 128 Old Smithville Hwy, Mcminnville, TN 37110 | 2006-12-18 |
| 1952478992 | Jeanne Kay Ball | Physical Therapy Assistant | Nhc Mcminneville, 928 Old Smithville Rd, Mcminnville, TN 37110 | 2006-11-28 |
| 1760559702 | Amy Cheryl Fox | Occupational Therapy Assistant | Nhc Mcminnville 928 Old Smithville Rd, Mcminnville, TN 37110 | 2006-11-28 |
| Find all providers in zip 37110 | ||||
| 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 |
|---|---|---|---|---|
| 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 | MCMINNVILLE |
| Zip Code | 37110 |
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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.