CROCKETT HOSPITAL, LLC (NPI# 1720212038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720212038 |
| Entity Type | Organization |
| Organization Name | CROCKETT HOSPITAL, LLC |
| Other Organization Name | SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG |
| Practice Address |
1607 S Locust Ave Lawrenceburg TN 38464-4011 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 9317626571 |
| Practice Fax Number | 9317663339 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6139208913 |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | KATHY J. TEAGUE (ASSISTANT VICE PRESIDENT, SECRETARY) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | Y |
| Parent Organization Name | CROCKETT HOSPITAL, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | TN | Hospital Units |
| Other Name | Type Code |
|---|---|
| Southern Tennessee Regional Health System Lawrenceburg | Doing Business As Name - Organization |
| Street Address |
1607 S LOCUST AVE |
| City | LAWRENCEBURG |
| State | TN |
| Zip Code | 38464-4011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629017751 | Thomas W Doss | Physician Assistant | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2006-06-05 |
| 1902435811 | Maureen C Toy | Dietitian, Registered | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2020-04-02 |
| 1437792694 | Megan Elizabeth Newton | Registered Nurse | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2019-10-21 |
| 1518472109 | Casey M Spirk | Physician Assistant | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2017-12-05 |
| 1033553607 | Matthew B Neal | Emergency Medicine | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2013-04-24 |
| 1336274612 | Crockett Hospital LLC | Internal Medicine | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2007-02-23 |
| 1790864288 | Crockett Hospital LLC | Rehabilitation Unit | 1607 S Locust Ave, Lawrenceburg, TN 38464 | 2006-11-03 |
| 1114003175 | Crockett Hospital LLC | General Acute Care Hospital | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2006-10-31 |
| 1073531042 | James David Grippo | Radiology | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2006-07-18 |
| 1952340697 | Dan S Powell | Emergency Medicine | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265099782 | Yolande P Parson | Social Worker | 1236 1st Ave, Lawrenceburg, TN 38464 | 2019-05-20 |
| 1457878928 | Sheila Ann Turpen | Occupational Therapist | 2380 Buffalo Road, Lawrenceburg, TN 38464 | 2017-08-25 |
| 1790035863 | Donna Cheryll Collins | Nurse Practitioner | 129 South Locust Ave, Lawerenceburg, TN 38464 | 2012-09-14 |
| 1548558943 | John T. Will, D.d.s. | Dentist | 234 East Gaines St, Lawrenceburg, TN 38464 | 2011-07-19 |
| 1093008476 | James Lawson Sullenger | Pharmacist | 2201 North Locust Ave, Lawrenceburg, TN 38464 | 2011-05-18 |
| 1346412624 | Respi-care Inc. | Durable Medical Equipment & Medical Supplies | 14 Public Square, Lawrenceburg, TN 38464 | 2008-03-27 |
| 1215144936 | Amg-crockett, LLC | Urology | Us Highway 43 South, Lawrenceburg, TN 38464 | 2007-05-16 |
| 1548472715 | Lawrence County Senior Citizens Club Inc | Non-emergency Medical Transport (VAN) | 220 Centennial Blvd., Lawrenceburg, TN 38464 | 2007-05-03 |
| 1316169345 | Bernard T Beuerlein | Pharmacist | 111 North Columbia Ave, Lawrenceburg, TN 38464 | 2007-05-02 |
| 1528289188 | Richard Dean Jennings | Pharmacist | 11 Public Square, Lawrenceburg, TN 38464 | 2007-05-01 |
| Find all providers in zip 38464 | ||||
| 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 | LAWRENCEBURG |
| Zip Code | 38464 |
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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.