Salem Health Care Group LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SALEM HEALTH CARE GROUP LLC

Practice address

501 North Hayden Avenue
Salem, KY 42028

Phone

(615) 521-9097

NPI assigned

Oct 12, 2020

Last updated

Oct 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Caudill

Title

Owner/Ceo

Phone

(615) 521-9097

Specialties & licenses 1

Addresses

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.

• Michell E. Caudill, PA-C

  • Physician Assistant
  • Mount Juliet, TN
  • NPI 1508491143
  NPD
• Brandy Smith Floyd, PA

  • Medical Physician Assistant
  • Colquitt, GA
  • NPI 1881756716
  NPD (past)

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1447858642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 RIDGEWATER WAY",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371225723",
            "telephone_number": "615-521-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NORTH HAYDEN AVENUE",
            "city": "SALEM",
            "state": "KY",
            "postal_code": "42028",
            "telephone_number": "615-521-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM HEALTH CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "CAUDILL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "615-521-9097"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demetrius L Patton, M.D.
• Kara Ann Phillips, APRN
• Linn Phillips, ARNP
• R V Bharne PSC
• Salem Clinic Pharmacy Inc (Clinic Pharmacy of Ky)
• Kristee Croft Shoulders, APRN
• Tri-Rivers Healthcare PLLC (Salem Medical Clinic)
• Tri-Rivers Healthcare, PLLC (TRHC Hospital Services)
• Misty Jones Turmero, PHARM D
• Lauren Turner

• Substance Use Disorder Rehabilitation Clinic/Center in Salem, KY
• Providers in Salem, KY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.