PW-HOSPITAL BRIDGE SERVICES, LLC (NPI# 1811508765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811508765 |
| Entity Type | Organization |
| Organization Name | PW-HOSPITAL BRIDGE SERVICES, LLC |
| Practice Address |
801 Hill St Ste A Springfield TN 37172-2951 |
| Mailing Address |
1000 Urban Center Dr Ste 600 Vestavia AL 35242-2584 |
| Practice Telephone | 6153823002 |
| Practice Fax Number | 6159539581 |
| Mailing Telephone | 2052089312 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | MELISSA COX (CREDENTIALING) |
| Authorized Official Telephone | 2052469312 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pathway Healthcare - Hospital Bridge Services, LLC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Medical Plaza Dr Ste B, Vicksburg, MS 391805187 | 6018830264 | |
| 1101 Fox Meadows Blvd Ste 105, Sevierville, TN 378626937 | 6153823002 | 6153282295 |
| 1200 N State St Ste 455, Jackson, MS 392022000 | 6019577343 | |
| 1210 Broaville Rd, Madison, TN 37115 | 6158689959 | 6153282295 |
| 2090 Southpoint Park Circle, Ste. 190, Huntsville, AL 35801 | 2568805818 | 2568835346 |
| 2131 Military St S Ste 2, Hamilton, AL 355706651 | 2059215556 | 2059215595 |
| 22454 Us Highway 72 Ste 320, Athens, AL 356132609 | 2564642399 | |
| 28119 N Main St Ste B, Daphne, AL 365267090 | 2512140040 | 2513075559 |
| 3600 Bluecutt Rd Ste 202, Columbus, MS 397051397 | 6624344210 | |
| 37 Sandstone Cir Ste 92, Jackson, TN 383053168 | 7312656025 | 7312656028 |
| 48 Medical Park Dr E Ste 454, Birmingham, AL 352353400 | 2055177730 | 2058385863 |
| 580 Providence Park Dr E Ste 124b, Mobile, AL 366954614 | 2052089312 |
| Street Address |
801 HILL ST STE A |
| City | SPRINGFIELD |
| State | TN |
| Zip Code | 37172-2951 |
| 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 | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639656986 | Impact Healthcare Pllc | Family Medicine | 801 Hill St, Springfield, TN 37172-2951 | 2018-07-19 |
| 1558500462 | Mercy Specialist Physicians Inc | Family Medicine | 300 Carew St, Suite 1, Springfield, MA 01104 | 2009-02-17 |
| 1336363217 | Springfield International Health Center | Family Medicine | 760 Chestnut St, Springfield, MA 01107-1614 | 2007-04-12 |
| 1134239056 | Robert L. Elworth | Family Medicine | 1423 N Jefferson Ave, Springfield, MO 65802-1917 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268243 | Alpha Medical Center, LLC | Family Medicine | 1421 W Baddour Pkwy Ste A, Lebanon, TN 37087-2652 | 2020-02-28 |
| 1770133597 | Renewal Healthcare | Family Medicine | 7035 Middlebrook Pike, Knoxville, TN 37909 | 2019-09-13 |
| 1518425941 | Hamm, Blackstock & Stern, Pllc | Family Medicine | 2135 Dalkeith Dr, Germantown, TN 38139-3407 | 2019-03-05 |
| 1336636158 | Foundation Medical, Inc. | Family Medicine | 1730 Old Gray Station Rd, Johnson City, TN 37615-3869 | 2018-04-17 |
| 1770080632 | East Tennessee Addiction Specialists | Family Medicine | 2022 Chilhowee Medical Park, Maryville, TN 37804-5285 | 2018-04-09 |
| 1912418435 | Sunrise Medical Associates Inc. | Family Medicine | 9 Worth Cir Ste 100, Johnson City, TN 37601-4358 | 2017-10-24 |
| 1851810774 | Physician Hope and Wellness Center | Family Medicine | 1915c Church St, Nashville, TN 37203-2203 | 2017-09-12 |
| 1619409489 | Watauga Recovery Center Greeneville | Family Medicine | 819 W Church Street, Greeneville, TN 37745 | 2017-03-31 |
| 1568913663 | Watauga Recovery Center Newport PC | Family Medicine | 330 Heritage Blvd, Newport, TN 37821-4257 | 2016-10-24 |
| 1831640937 | Watauga Recovery Center Morristown P.C. | Family Medicine | 1369 W Andrew Johnson Hwy, Johnson City, TN 37604 | 2016-10-24 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 37172 |
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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.