Saint Thomas River Park Hospital, LLC

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

Legal business name

SAINT THOMAS RIVER PARK HOSPITAL, LLC

Practice address

1559 Sparta St
McMinnville, TN 37110-1316

Phone

(931) 815-4000

NPI assigned

Jun 11, 2015

Organization subpart

No

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

Authorized official

Name

Lisa R Davis

Title

Cfo

Phone

(615) 284-6845

Specialties & licenses 1

Addresses

Other names 1

• Ascension Saint Thomas River Park Doing business as

Member of 1

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

• Saint Thomas Health

  • Community/Retail Pharmacy
  • Nashville, TN
  • NPI 1861806911

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1508247016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD",
            "address_2": "STE 800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052287",
            "telephone_number": "615-284-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 SPARTA ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101316",
            "telephone_number": "931-815-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT THOMAS RIVER PARK HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-284-6845"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Saint Thomas River Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sylwia Anna Rychtarczyk, MD
• Saint Thomas Health
• Saint Thomas River Park Hospital LLC
• Saint Thomas River Park Hospital LLC
• Saint Thomas River Park Hospital, LLC
• Saint Thomas River Park Hospital, LLC
• Saint Thomas River Park Hospital, LLC
• Saint Thomas River Park Hospital, LLC
• Saint Thomas River Park Hospital, LLC
• Saint Thomas River Park Hospital, LLC

• Medicare Defined Swing Bed Hospital Unit in McMinnville, TN
• Providers in McMinnville, 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 Aug 11, 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.