Organization Active NPI

Central Tennessee Hospital Corporation

Doing business as Tristar Horizon Medical Center

  • Rehabilitation Hospital Unit
  • Dickson, TN
National Provider Identifier
1407893464
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
CENTRAL TENNESSEE HOSPITAL CORPORATION
Doing business as
Tristar Horizon Medical Center
Practice address
111 Highway 70 E
Dickson, TN 37055-2080
Phone
(615) 446-0446
Fax
(615) 441-2514
NPI assigned
May 31, 2006
Last updated
Nov 7, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL TENNESSEE HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Clarence Gray
Title
Cfo
Phone
(615) 326-2530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NU Primary

Addresses

Primary practice location

111 Highway 70 E
Dickson, TN 37055-2080

Mailing address

111 Highway 70 E
Dickson, TN 37055-2080
Phone (615) 441-2357

Other identifiers 1

IdentifierTypeStateIssuer
044T046MedicaidTN

Other names 1

  • TRISTAR HORIZON MEDICAL CENTER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070202000146 TN Part A Provider - Hospital 3476462664 Practice locations: Dickson, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407893464. Details of each certification follow.

Hospital certification: CCN 44T046

Legal name
CENTRAL TENNESSEE HOSPITAL CORPORATION
Doing business as
TRISTAR HORIZION MEDICAL CENTER
Organization structure
CorporationProprietary
Incorporated
May 10, 1995 in TN
Enrollment address
111 Highway 70 E
Dickson, TN 37055-2080
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Horizon Rehabilitation CenterCCN 44T046 · All quality measures
Ownership
For profit
Certified
Jun 1, 2024

National Provider Directory

National Provider Directory
Part of
Columbia Horizon Med CT

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 37

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

NameRoleSinceShare
Michael McAlevey Individual Corporate OfficerSenior Vice President Feb 1, 2022
Jaime L Derensis Individual Corporate OfficerVice President and Assist Secretary Nov 4, 2020
HCA Inc Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest May 31, 2007 100%
John M Franck Individual Corporate DirectorVice President and Assist Secretary May 31, 2007
HCA Health Services of Tennessee, Inc Organization, Nashville, TN For-profit 5% Or Greater Direct Ownership Interest May 31, 2007 100%
Douglas L Downey Individual Corporate OfficerAssistant Secretary Apr 7, 2014
Eric D Smith Individual Contracted Managing Employee Mar 1, 2021
HCA Healthcare Inc Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Mar 18, 2011 100%
Henry Todd Maxwell Individual Corporate OfficerVice President Jan 1, 2024
Christopher F Wyatt Individual Corporate DirectorSenior Vice President Apr 18, 2016
John I Starling Individual Corporate OfficerAssistant Secretary Oct 7, 2019
Shirley E Scharf-Cheatham Individual Corporate OfficerAssistant Secretary Jan 1, 2010
John M Hackett Individual Corporate OfficerSenior Vice President and Treasurer Apr 18, 2016
Hercules Holding II Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Sep 23, 2016 18%
Wesley Fountain Individual Corporate OfficerDivision Cfo -Tristar Sep 1, 2018
Samuel N Hazen Individual Corporate DirectorPresident Apr 11, 2011
Mitchell Edgeworth Individual Corporate OfficerSenior Vice President Jan 4, 2021
Ronald Lee Grubbs Individual Corporate OfficerVice President Jan 1, 2010
Monica Cintado Individual Corporate OfficerSenior Vice President Oct 7, 2019
Jon Foster Individual Corporate OfficerSenior Vice President Apr 5, 2013
Sarah Falade Individual Corporate OfficerHospital Cfo Nov 17, 2025
W-2 Managing EmployeeHospital Cfo Nov 17, 2025
Healthtrust Inc - the Hospital Company Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest May 31, 2007 100%
Seth a Killingbeck Individual Corporate OfficerVice President Aug 10, 2012
Timothy Scott Noonan Individual Corporate OfficerVice President Apr 5, 2013
Natalie H Cline Individual Corporate OfficerVice President and Secretary Apr 5, 2013
Michael T Bray Individual Corporate OfficerVice President Jan 1, 2010
Peter J Rossell Individual Corporate OfficerVice President Jan 1, 2023
Timothy M McManus Individual Corporate OfficerSenior Vice President Jun 25, 2012
Frisco Holding II Organization, Nashville, TN Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Sep 23, 2016 53%
Brad Ej Spicer Individual Corporate OfficerVice President Jan 1, 2023
Kevin a Ball Individual Corporate OfficerVice President and Assist Secretary Apr 7, 2014
Samuel W Chocklett Individual Corporate OfficerHospital Ceo Jul 7, 2025
W-2 Managing EmployeeHospital Ceo Jul 7, 2025
Jeffery McInturff Individual Corporate OfficerVice President Nov 29, 2021
Healthserv Acquisition LLC Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest May 31, 2007 100%
Deborah H Mullin Individual Corporate OfficerAssistant Secretary Jan 1, 2010
Russell Young Individual Corporate OfficerVice President Jan 1, 2023
Cindy Bergmeier Individual Corporate OfficerVice President Feb 6, 2023

Owners & managing parties with NPI records 9

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

Facilities with the same owner 155

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 155

Practitioners & affiliated clinicians

Practitioners 2

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1407893464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HIGHWAY 70 E",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552080",
            "telephone_number": "615-441-2357",
            "fax_number": "615-441-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HIGHWAY 70 E",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552080",
            "telephone_number": "615-446-0446",
            "fax_number": "615-441-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TENNESSEE HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL TENNESSEE HOSPITAL CORPORATION",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-326-2530"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044T046",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TRISTAR HORIZON MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.