National Healthcare of Cleveland NC

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

0000000006 Issued in TN

Legal business name

NATIONAL HEALTHCARE OF CLEVELAND NC

Practice address

2800 Westside Dr NW
Cleveland, TN 37312-3501

Phone

(423) 339-4100

Fax

(423) 339-4372

NPI assigned

Jan 30, 2006

Organization subpart

Yes

Parent organization

NATIONAL HEALTHCARE OF CLEVELAND, INCAs reported in NPPES

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

Authorized official

Name

William Hussey

Title

Senior VP, Group Operations

Phone

(888) 373-9600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Skyridge Medical Center Doing business as

Part of

National Healt H Care of

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1255302006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198029",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 WESTSIDE DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123501",
            "telephone_number": "423-339-4100",
            "fax_number": "423-339-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL HEALTHCARE OF CLEVELAND NC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL HEALTHCARE OF CLEVELAND, INC",
        "enumeration_date": "2006-01-30",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "HUSSEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "SENIOR VP, GROUP OPERATIONS",
        "authorized_official_telephone_number": "888-373-9600"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TN",
            "license": "0000000006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1000017",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440185",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyridge Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medicare Defined Swing Bed Hospital Unit in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Medicare Defined Swing Bed Hospital Unit in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.