NPIMap

Organization Active NPI

Memorial Health Care System Inc.

Doing business as Memorial Hospital Hixson

  • General Acute Care Hospital
  • Hixson, TN
National Provider Identifier
1083778633
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0000000071 Issued in TN
Legal business name
MEMORIAL HEALTH CARE SYSTEM INC.
Doing business as
Memorial Hospital Hixson
Practice address
2051 Hamill Rd
Hixson, TN 37343-6614
Phone
(423) 495-7100
Fax
(423) 495-6312
NPI assigned
Dec 20, 2006
Last updated
Aug 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Sutton
Title
Vice President, Finance
Phone
(423) 495-8488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0000000071 TN Primary

Addresses

Primary practice location

2051 Hamill Rd
Hixson, TN 37343-6614

Mailing address

2051 Hamill Rd
Hixson, TN 37343-6614
Phone (423) 495-7100

Other names 1

  • Memorial Hospital Hixson Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080925000402 TN Part A Provider - Hospital 8628978210 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ooltewah, TN; Hixson, TN; Cleveland, TN; Chattanooga, TN

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1083778633. Details of each certification follow.

Hospital certification: CCN 440091

Legal name
MEMORIAL HEALTH CARE SYSTEM INC.
Doing business as
MEMORIAL HOSPITAL/MEMORIAL HOSPITAL HIXSON-CHI MEMORIAL/ CHI MEMORIAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 22, 2000
Beds
431
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Aug 7, 1984 in KY
Enrollment address
2525 Desales Ave
Chattanooga, TN 37404-1161
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Hospital certification: CCN 440103

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
(CLOSED) NORTH PARK HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Feb 1, 1998
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 5, 1997
Beds
83
Ownership / control type
Private (not for profit)
Facility address
2051 Hamill Road
Hixson, TN 37343

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Memorial Healthcare System, IncCCN 440091 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Cigna Finance4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Doug Lawson Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Michael Steines Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Gary Whitlock Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Nov 27, 2007 100%
Operational/Managerial Control Nov 27, 2007
Craig a Nielsen Individual Corporate OfficerMKT VP Operational Finance Jul 1, 2023
Operational/Managerial ControlMKT VP Operational Finance Jul 1, 2023
Robert Upchurch Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Matthew Brown Individual Corporate OfficerBoard Member, President Jul 1, 2025
Corporate DirectorBoard Member, President Jul 1, 2025
Frank Ashley Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Terika Richardson Mbanu Individual Corporate OfficerPresident, CSH Jan 5, 2024
Corporate DirectorBoard Member Jul 1, 1978
Donald D Hearne Individual Corporate OfficerSecretary Jul 1, 2025
Janelle G Reilly Individual Corporate OfficerMarket President Jul 1, 2018
Operational/Managerial ControlMarket Ceo Oct 1, 2018
Brooks Bass Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Brad Beers Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Thomas Kopfensteiner Individual Corporate DirectorBoard Member Jul 1, 2025
Jane Ainsworth Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Monte J Bostwick Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Indira S Anupindi Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Demetress L Harrell Individual Corporate DirectorAdvisory Board Member Jul 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1,139

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,139

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1083778633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 HAMILL RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373436614",
            "telephone_number": "423-495-7100",
            "fax_number": "423-495-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 HAMILL RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373436614",
            "telephone_number": "423-495-7100",
            "fax_number": "423-495-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HEALTH CARE SYSTEM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT, FINANCE",
        "authorized_official_telephone_number": "423-495-8488"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "0000000071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hospital Hixson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hixson, TN

Sources for this page

Verify at the official NPI Registry.