CROCKETT HOSPITAL LLC (NPI# 1790864288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790864288 |
| 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 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 9317626571 |
| Practice Fax Number | 9317663339 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | KATHY J. TEAGUE (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 | 273Y00000X | Rehabilitation Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Southern Tennessee Regional Health System Lawrenceburg | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574664 | Crockett Hospital LLC | Family Medicine | 722 N Military St, Loretto, TN 38469-2336 | 2019-05-20 |
| 1336274612 | Crockett Hospital LLC | Internal Medicine | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2007-02-23 |
| 1114003175 | Crockett Hospital LLC | General Acute Care Hospital | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2006-10-31 |
| Street Address |
1607 S LOCUST AVE |
| City | LAWRENCEBURG |
| State | TN |
| Zip Code | 38464 |
| 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 |
| 1720212038 | Crockett Hospital, LLC | Medicare Defined Swing Bed Unit | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2009-05-14 |
| 1336274612 | Crockett Hospital LLC | Internal Medicine | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2007-02-23 |
| 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 | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225029390 | Jackson Madison County General Hospital | Rehabilitation Unit | 620 Skyline Drive, Jackson, TN 38301-3901 | 2005-10-28 |
| 1629675319 | Premier Physical Therapy Consulting | Rehabilitation Unit | 751b Lynwood Ave, Nashville, TN 37203-5029 | 2020-10-06 |
| 1043824279 | Methodist Healthcare East Hospital | Rehabilitation Unit | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
| 1720642523 | Vanderbilt University Medical Center | Rehabilitation Unit | 500 Park Ave, Lebanon, TN 37087-3721 | 2019-04-26 |
| 1598296691 | Memphis Va Medical Center | Rehabilitation Unit | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2017-03-21 |
| 1710368220 | Saint Thomas River Park Hospital, LLC | Rehabilitation Unit | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2015-06-11 |
| 1336520840 | Saint Thomas Stones River Hospital, LLC | Rehabilitation Unit | 324 Doolittle Rd, Woodbury, TN 37190-1139 | 2015-06-11 |
| 1093124521 | Rchp Montana LLC | Rehabilitation Unit | 103 Continental Pl, Suite 200, Brentwood, TN 37027-1041 | 2014-08-08 |
| 1316379738 | Hca Health Services of Tennessee, Inc. | Rehabilitation Unit | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2013-08-08 |
| 1457640922 | Hca Health Services of Tennessee, Inc. | Rehabilitation Unit | 391 Wallace Rd, Nashville, TN 37211-4851 | 2011-04-05 |
| 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.