BRYNN MARR HOSPITAL INC (NPI# 1992701486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992701486 |
| Entity Type | Organization |
| Organization Name | BRYNN MARR HOSPITAL INC |
| Practice Address |
192 Village Dr Jacksonville NC 28546-7238 |
| Practice Telephone | 9105771400 |
| Practice Fax Number | 9105772766 |
| Mailing Telephone | 9105771400 |
| Mailing Fax Number | 9105772766 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2013-07-23 |
| Authorized Official Name | LISA R SHACKELFORD (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Telephone | 9105772770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | MHH0190 | NC | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 00066 | 01 |
| NC | 3404016 | 05 |
| Street Address |
192 VILLAGE DR |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-7238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144735069 | Brynn Marr Hospital - Navy Resource Sharing | General Acute Care Hospital | 192 Village Dr, Jacksonville, NC 28546-7238 | 2017-12-14 |
| 1336587682 | Tonya Leblanc | Social Worker | 192 Village Dr, Jacksonville, NC 28546-7238 | 2013-06-10 |
| 1760777098 | Connie P Kitchen | Nurse Practitioner | 192 Village Dr, Jacksonville, NC 28546 | 2011-06-15 |
| 1760715841 | Institutional Pharmacy Solutions, LLC | Pharmacy | 192 Village Dr, Jacksonville, NC 28546-7238 | 2009-09-08 |
| 1285861088 | Cynthia Jo Waun | Counselor | 192 Village Dr, Jacksonville, NC 28546-7238 | 2009-06-18 |
| 1770526501 | Harry Todd Enderlin | Psychologist | 192 Village Dr, Jacksonville, NC 28546-7238 | 2006-06-13 |
| 1144207804 | Brynn Marr Hospital | Psychiatric Residential Treatment Facility | 192 Village Dr, Jacksonville, NC 28546 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| 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 |
|---|---|---|---|---|
| 1083644348 | Umc Wekiva Springs | Psychiatric Hospital | 3947 Salisbury Rd North, Jacksonville, FL 32216 | 2006-07-03 |
| 1497758312 | Ten Broeck Jacksonville LLC | Psychiatric Hospital | 6300 Beach Blvd, Jacksonville, FL 32216-2708 | 2005-05-24 |
| 1689130338 | Freedom Behavioral Hospital of Central Arkansas LLC | Psychiatric Hospital | 1400 Braden St, Jacksonville, AR 72076-3721 | 2019-02-19 |
| 1649632951 | Memorial Family Practice, LLC | Psychiatric Hospital | 3627 University Blvd S, Suite 235, Jacksonville, FL 32216-4230 | 2016-03-25 |
| 1457526154 | Southern Baptist Hospital of Florida Inc | Psychiatric Hospital | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2008-04-24 |
| 1568633683 | Tbj Behavioral Center LLC | Psychiatric Hospital | 6300 Beach Blvd, Jacksonville, FL 32216-2708 | 2008-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406051 | Triangle Springs, LLC | Psychiatric Hospital | 10901 World Trade Blvd., Raleigh, NC 27617-4203 | 2017-09-20 |
| 1730623182 | Ralph Newman | Psychiatric Hospital | 1019 Bookmark Trl, Durham, NC 27703-9871 | 2016-12-05 |
| 1962887281 | North Carolina Agricultural and Technical State University | Psychiatric Hospital | 913 Bluford St., Greensboro, NC 27401 | 2015-07-28 |
| 1881085264 | Fayetteville Va Medical Cener | Psychiatric Hospital | 1111 Shell Dr, Apt 60, Spring Lake, NC 28390-2050 | 2015-02-06 |
| 1992044143 | Holly Hill Hospital Mobile Crisis | Psychiatric Hospital | 943 W Andrews Ave Ste K, Henderson, NC 27536-2587 | 2013-02-07 |
| 1487999652 | Unc-chapel Hill | Psychiatric Hospital | Unc Ch, 101 Manning Dr. Cb7167, Chapel Hill, NC 27599-0001 | 2012-11-29 |
| 1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
| 1639357429 | Sbh- Wilmington, LLC | Psychiatric Hospital | 2050 Mercantile Drive, Leland, NC 28451 | 2008-02-05 |
| 1295938652 | Linda Ruth Derbes | Psychiatric Hospital | 4919 S Miami Blvd, Durham, NC 27703-8435 | 2007-06-06 |
| 1992851331 | Julian F Keith Alcohol and Drug Abuse Treatment Center | Psychiatric Hospital | 201 Tabernacle Road, Black Mountain, NC 28711 | 2007-01-26 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
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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.