NPIMap

Organization Active NPI

Pinelake Regional Hospital LLC

Doing business as Jackson Purchase Medical Center

  • Clinical Medical Laboratory
  • Mayfield, KY
National Provider Identifier
1437337904
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PINELAKE REGIONAL HOSPITAL LLC
Doing business as
Jackson Purchase Medical Center
Practice address
1099 Medical Center Cir
Mayfield, KY 42066-1159
Phone
(270) 251-4100
NPI assigned
Feb 6, 2008
Last updated
Apr 14, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
PINELAKE REGIONAL HOSPITAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Mr. Robert Scott Raplee
Title
President
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1099 Medical Center Cir
Mayfield, KY 42066-1159

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-4536
Phone (615) 920-7000

Other identifiers 1

IdentifierTypeStateIssuer
000000061925OtherANTHEM

Other names 1

  • Jackson Purchase Medical Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0325595Jackson Purchase Medical Center1099 Medical Center Circle, Mayfield, KY 42066AccreditationFeb 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Pinelake Regional Hospital LLC5 organizations share this tax ID, including this one
Part of
Pinelake Regional Hospital LLC

Other organizations with this tax ID 4

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1437337904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274536",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 MEDICAL CENTER CIR",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661159",
            "telephone_number": "270-251-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINELAKE REGIONAL HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINELAKE REGIONAL HOSPITAL LLC",
        "enumeration_date": "2008-02-06",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "RAPLEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-920-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000061925",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Purchase Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.