PINELAKE REGIONAL HOSPITAL, LLC (NPI# 1659777514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659777514 |
| Entity Type | Organization |
| Organization Name | PINELAKE REGIONAL HOSPITAL, LLC |
| Other Organization Name | JACKSON PURCHASE MEDICAL CENTER |
| Practice Address |
1099 Medical Center Cir Mayfield KY 42066-1159 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 2702514100 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2017-05-31 |
| Authorized Official Name | ROBERT SCOTT RAPLEE (PRESIDENT) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | Y |
| Parent Organization Name | PINELAKE REGIONAL HOSPITAL, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Jackson Purchase Medical Center | Doing Business As Name - Organization |
| Street Address |
1099 MEDICAL CENTER CIR |
| City | MAYFIELD |
| State | KY |
| Zip Code | 42066-1159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407824063 | Graves Emergency Group LLC | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2006-03-09 |
| 1124569553 | Amanda Massey | Nurse Anesthetist, Certified Registered | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2017-03-18 |
| 1417327008 | Mary Graham | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2015-09-25 |
| 1255735346 | Tas of Kentucky LLC | Nurse Anesthetist, Certified Registered | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2014-10-17 |
| 1558603589 | Sandy Kay Riley | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2013-03-15 |
| 1023357928 | Sarah Darnell | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2013-02-12 |
| 1104115583 | Bryan Thomas Green | Physical Therapist | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2011-04-06 |
| 1457586638 | Carla Ann Davis | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2009-05-18 |
| 1447413174 | Nancy R. Mullins | Physical Therapist | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2008-07-02 |
| 1538334610 | Graves Physician Services LLC | Hospitalist | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2008-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031959 | Snh Derby Tenant LLC | Assisted Living Facility | 1517 West Broadway Street, Mayfield, KY 42066 | 2019-09-10 |
| 1033674254 | Mind, Body, Soul, LLC | Clinic/Center | 1325 Us 45 S, Suite C, Mayfield, KY 42066 | 2019-02-01 |
| 1699288936 | Kimberly Kaye Gooch | Developmental Therapist | 3907 State Route 303, Mayfield, KY 42066 | 2017-11-08 |
| 1538604657 | Courtney L Coleman | Nurse Practitioner | 1029 Medical Center Cir Ste 200, Mayfield, KY 42066 | 2016-12-28 |
| 1659814721 | Bertha Workman | Voluntary or Charitable | 331 South 7th Street, Mayfield, KY 42066 | 2016-11-22 |
| 1699174052 | Laura Dassing | Counselor | 1325 Hwy 45 N, Mayfield, KY 42066 | 2014-08-21 |
| 1275947905 | Wkda Services LLC | Community/Behavioral Health | 1325 U S Hwy 45n, Mayfield, KY 42066 | 2014-06-20 |
| 1538594247 | Young Healthcare LLC | Chiropractor | 1011 Paris Road #341, Mayfield, KY 42066 | 2013-09-12 |
| 1811335649 | Donald Bennett Dowdy | Dentist | 236 N. 6th St., Mayfield, KY 42066 | 2013-06-14 |
| 1578822623 | Wanda Bingham Marshall | Counselor | 325 South 8th Street, West Kentucky Counseling Center, Mayfield, KY 42066 | 2012-05-10 |
| Find all providers in zip 42066 | ||||
| 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 |
|---|---|---|---|---|
| 1659810810 | Swis Purchase, LLC | Psychiatric Unit | 473 Old Symsonia Rd, Benton, KY 42025-5044 | 2017-02-20 |
| 1366629545 | Adair County Hospital District | Psychiatric Unit | 901 Westlake Drive, Columbia, KY 42728-1123 | 2008-01-30 |
| 1013525583 | Baptist Healthcare System Inc | Psychiatric Unit | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2020-07-21 |
| 1477189876 | Uofl Health-louisville Inc | Psychiatric Unit | 2020 Newburg Rd, Louisville, KY 40205-1803 | 2020-03-17 |
| 1063074581 | Arh Tug Valley Health Services, Inc. | Psychiatric Unit | 5000 Ky Route 321, Prestonsburg, KY 41653-9113 | 2019-07-04 |
| 1265091003 | Pineville Community Health Center Inc | Psychiatric Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1720578214 | Pineville Medical Center, LLC | Psychiatric Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| 1487184453 | Jennie Stuart Medical Center | Psychiatric Unit | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2017-06-13 |
| 1215390513 | Spring View Hospital LLC | Psychiatric Unit | 320 N Loretto Rd, Lebanon, KY 40033-1300 | 2016-04-04 |
| 1558729228 | T J Health Columbia Inc | Psychiatric Unit | 901 Westlake Dr, Columbia, KY 42728-1123 | 2016-02-09 |
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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.