NORTHCREST MEDICAL CENTER (NPI# 1699850180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699850180 |
Entity Type | Organization |
Organization Name | NORTHCREST MEDICAL CENTER |
Other Organization Name | NORTHCREST HOSPICE |
Practice Address |
101e Mooreland Drive Springfield TN 37172-3974 |
Practice Telephone | 6153849425 |
Practice Fax Number | 6153849468 |
Mailing Telephone | 6153849425 |
Mailing Fax Number | 6153849468 |
Enumeration Date | 2006-10-25 |
Last Update Date | 2008-02-06 |
Authorized Official Name | SCOTT RAYNES (CEO PRESIDENT) |
Authorized Official Telephone | 6153841501 |
Is Organization Subpart | Y |
Parent Organization Name | NORTHCREST MEDICAL CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | 0000000521 | TN | Agencies |
Other Name | Type Code |
---|---|
NorthCrest Hospice | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487099776 | Northcrest Medical Center | Clinic/Center | 520 Northcrest Dr, Springfield, TN 37172-4066 | 2013-05-01 |
1376025114 | Northcrest Medical Center | Medicare Defined Swing Bed Unit | 100 Northcrest Dr, Springfield, TN 37172 | 2018-08-29 |
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 |
101E MOORELAND DRIVE |
City | SPRINGFIELD |
State | TN |
Zip Code | 37172-3974 |
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 | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023513058 | Prospect Crozer Home Health and Hospice, LLC | Hospice Care, Community Based | 200 W. Sroul Road, Springfield, PA 19064 | 2018-03-30 |
1215391065 | Great Lakes Caring Hospice C Il, LLC | Hospice Care, Community Based | 3085 Stevenson Dr Ste 200a, Springfield, IL 62703-4440 | 2016-04-07 |
1811393564 | Loving Peace Hospice, Inc. | Hospice Care, Community Based | 2815 Old Jacksonville Rd Ste 202, Springfield, IL 62704-6419 | 2014-11-07 |
1245597285 | Intrepid of Missouri, Inc. | Hospice Care, Community Based | 4305 S. National Ave., Springfield, MO 65810 | 2012-04-16 |
1508012204 | Beacon Hospice, LLC | Hospice Care, Community Based | 815 Worcester St, Springfield, MA 01151-1001 | 2008-08-13 |
1720255284 | Good Shepherd Hospice of Springfield, LLC | Hospice Care, Community Based | 3250 S National Ave, Springfield, MO 65807-7303 | 2008-05-14 |
1710159355 | Omega Health Care of Southwest Missouri Inc | Hospice Care, Community Based | 2041 S Stewart Ave, Springfield, MO 65804-2522 | 2008-03-24 |
1083787840 | Southeast Colorado Hospital District | Hospice Care, Community Based | 200 E 10th Ave, Springfield, CO 81073-1621 | 2006-11-17 |
1366450504 | Hospice & Palliative Care Of | Hospice Care, Community Based | 2432 East Madrid Ave, Springfield, MO 65804 | 2006-08-04 |
1578500823 | Southerncare Inc | Hospice Care, Community Based | 777 E Battlefield St, Ste 104a, Springfield, MO 65807-4807 | 2006-06-02 |
Find all providers in SPRINGFIELD |
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.