CLEVELAND REGIONAL MEDICAL CENTER LP (NPI# 1932170990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932170990 |
| Entity Type | Organization |
| Organization Name | CLEVELAND REGIONAL MEDICAL CENTER LP |
| Other Organization Name | CLEVELAND REGIONAL MEDICAL CENTER |
| Practice Address |
300 E Crockett St Cleveland TX 77327-4029 |
| Mailing Address |
Po Box 844833 Dallas TX 75284-4833 |
| Practice Telephone | 2815931811 |
| Practice Fax Number | 2814324370 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-11-05 |
| Authorized Official Name | MICHAEL PORTACCI (SENIOR VP, GROUP OPERATIONS) |
| Authorized Official Telephone | 8883739600 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLEVELAND REGIONAL MEDICAL CENTER LP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 000108 | TX | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | HH0155 | 01 |
| Other Name | Type Code |
|---|---|
| Cleveland Regional Medical Center | Doing Business As Name - Organization |
| Street Address |
300 E CROCKETT ST |
| City | CLEVELAND |
| State | TX |
| Zip Code | 77327-4029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902158819 | Joyce Ann Nina Bacsibio Jalocon | Physical Therapist | 300 E Crockett St, Cleveland, TX 77327-4029 | 2012-10-03 |
| 1790055754 | Cleveland Clinic Corp | Obstetrics & Gynecology | 300 E Crockett St, Cleveland, TX 77327-4029 | 2012-01-09 |
| 1508091216 | Cleveland Regional Medical Center, Lp | Hospitalist | 300 E Crockett St, Cleveland, TX 77327-4029 | 2009-05-26 |
| 1376793281 | Naomi Lynne Woodman | Registered Nurse | 300 E Crockett St, Cleveland, TX 77327-4029 | 2008-09-27 |
| 1982725966 | Daniel Garza | Emergency Medicine | 300 E Crockett St, Cleveland, TX 77327-4029 | 2007-04-03 |
| 1265571145 | Rajgopal Pakanati Md Pa | Nurse Anesthetist, Certified Registered | 300 E Crockett St, Cleveland, TX 77327-4029 | 2007-02-06 |
| 1659421279 | Vijay Koduri | Emergency Medicine | 300 E Crockett St, Cleveland, TX 77327-4029 | 2007-01-12 |
| 1386723955 | Rajgopal R Pakanati | Anesthesiology | 300 E Crockett St, Cleveland, TX 77327-4029 | 2006-11-03 |
| 1386604585 | Cleveland Emergency Group Pa | Physician Assistant | 300 E Crockett St, Cleveland, TX 77327-4029 | 2006-03-23 |
| 1457311664 | Cleveland Physician Services P A | Hospitalist | 300 E Crockett St, Cleveland, TX 77327-4029 | 2006-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454525 | Secure Hands, LLC | Home Delivered Meals | 811 Lyle West Ave Unit C, Cleveland, TX 77327 | 2020-07-14 |
| 1598236861 | Noviembre LLC | Pharmacy | 200 E. Boothe Street, Suite 103, Cleveland, TX 77327 | 2018-12-16 |
| 1982191912 | Apn Pharmacy LLC | Pharmacy | 105 N San Jacinto Ave, Cleveland, TX 77327 | 2018-04-16 |
| 1689102642 | Nikki J0 Morgan | Nurse Practitioner | 117 S William Barnett Ave Ste A, Cleveland, TX 77327 | 2017-06-02 |
| 1811439292 | Charlotte Susanne Key | Nurse Practitioner | 211 S College Avenue, Cleveland, TX 77327 | 2016-11-16 |
| 1235439670 | Er Doc 24 7 Pllc | Emergency Medicine | 705 E. Houston St., Cleveland, TX 77327 | 2010-11-02 |
| 1255522447 | Latresha J Mcbride | Pediatrics | 300 E Houston, Ste A, Cleveland, TX 77327 | 2007-08-05 |
| 1104035914 | Lanette C Sikes | Dentist | 117 E Houston, Cleveland, TX 77327 | 2007-05-21 |
| 1285851873 | Randy Lee Davis | Dentist | 429 W. Southline St. Suite#900, Cleveland, TX 77327 | 2007-04-18 |
| 1508996950 | City of Cleveland | Ambulance | 207 E Boothe, Cleveland, TX 77327 | 2007-03-06 |
| Find all providers in zip 77327 | ||||
| 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 |
|---|---|---|---|---|
| 1518580893 | Cleveland Tennessee Hospital Company LLC | Medicare Defined Swing Bed Unit | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2020-05-21 |
| 1578947818 | Metrohealth | Medicare Defined Swing Bed Unit | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2015-07-16 |
| 1770889461 | Phc-cleveland Inc | Medicare Defined Swing Bed Unit | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2011-01-28 |
| 1881831774 | Cleveland Area Hospital Holdings, Inc. | Medicare Defined Swing Bed Unit | 1401 West Pawnee, Cleveland, OK 74020 | 2009-01-14 |
| 1093831422 | Cleveland Healthcare Properties, LLC | Medicare Defined Swing Bed Unit | 1401 W Pawnee, Cleveland, OK 74020-3033 | 2007-03-21 |
| 1255302006 | National Healthcare of Cleveland Nc | Medicare Defined Swing Bed Unit | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508214222 | Trinity Diagnostic Clinic, P.a | Medicare Defined Swing Bed Unit | 6324 Southern Hills Dr, Fort Worth, TX 76132-4485 | 2016-06-03 |
| 1710224647 | Caroline Chioma Ukachukwu | Medicare Defined Swing Bed Unit | 6565 Fannin St. Mgj. Suit 11, The Methodist Hospital, Mary Gibbs, Houston, TX 77030 | 2013-01-11 |
| 1023353752 | Eastland Memorial Hospital District | Medicare Defined Swing Bed Unit | 304 South Daugherty Street, Eastland, TX 76448 | 2012-12-06 |
| 1447574819 | Frio Hospital Association | Medicare Defined Swing Bed Unit | 200 S Ih 35, Pearsall, TX 78061-6601 | 2010-03-15 |
| 1952567588 | Preferred Hospital Leasing Junction, Inc | Medicare Defined Swing Bed Unit | 349 Reid Rd, Junction, TX 76849-3049 | 2008-08-04 |
| 1699939421 | Preferred Hospital Leasing Hemphill, Inc. | Medicare Defined Swing Bed Unit | 2301 State Highway 83w, Hemphill, TX 75948-0750 | 2008-07-10 |
| 1801087630 | Mitchell County Hospital District | Medicare Defined Swing Bed Unit | 997 West I-20, Colorado City, TX 79512 | 2007-08-07 |
| 1023138781 | Throckmorton County Memorial Hosp | Medicare Defined Swing Bed Unit | 802 N. Minter Ave., Throckmorton, TX 76483-5357 | 2007-03-29 |
| 1093839839 | Muenster Hospital District | Medicare Defined Swing Bed Unit | 605 N Maple, Muesnter, TX 76252-2424 | 2007-03-19 |
| 1841371739 | Jackson County Hospital District | Medicare Defined Swing Bed Unit | 1013 S Wells Street, Edna, TX 77957-4098 | 2006-10-18 |
| Find all providers with the same taxonomy | ||||
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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.