LAKELAND HOSPITAL ACQUISITION, LLC (NPI# 1720165327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720165327 |
| Entity Type | Organization |
| Organization Name | LAKELAND HOSPITAL ACQUISITION, LLC |
| Other Organization Name | LAKELAND BEHAVIORAL HEALTH SYSTEM |
| Practice Address |
440 South 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 | 2006-11-01 |
| Last Update Date | 2019-12-17 |
| Authorized Official Name | CHRISTOPHER L HOWARD (EVP & GENERAL COUSEL) |
| Authorized Official Telephone | 6158616000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 323P00000X | Psychiatric Residential Treatment Facility | 000754769 | MO | Residential Treatment Facilities |
| Y | 283Q00000X | Psychiatric Hospital | 432-14 | MO | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BC PROVIDER NUMBER | 107192 | 01 |
| MO | 011287901 | 05 | |
| AR | 118836125 | 05 | |
| KS | 200371220A | 05 |
| Other Name | Type Code |
|---|---|
| Lakeland Behavioral Health System | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386271054 | Lakeland Hospital Acquisition, LLC | Psychiatric Hospital | 440 S Market Ave, Springfield, MO 65806-2026 | 2020-03-24 |
| 1205095569 | Lakeland Hospital Acquisition, LLC | Psychiatric Residential Treatment Facility | 440 S Market Ave, Springfield, MO 65806-2026 | 2008-06-03 |
| Street Address |
440 SOUTH MARKET AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65806-2026 |
| 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 |
| 1386271054 | Lakeland Hospital Acquisition, LLC | Psychiatric Hospital | 440 S Market Ave, Springfield, MO 65806-2026 | 2020-03-24 |
| 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 |
| 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.