NPIMap

Organization Active NPI

Milan General Hospital, Inc.

Doing business as West Tennessee Healthcare Milan Hospital

  • General Acute Care Hospital
  • Milan, TN
National Provider Identifier
1699765453
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0000000049 Issued in TN
Legal business name
MILAN GENERAL HOSPITAL, INC.
Doing business as
West Tennessee Healthcare Milan Hospital
Practice address
4039 Highland St
Milan, TN 38358-3485
Phone
(731) 686-5135
Fax
(731) 686-5129
NPI assigned
Oct 24, 2005
Last updated
Oct 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Ms. Tina Prescott
Title
President and Ceo
Phone
(731) 541-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0000000049 TN Primary

Addresses

Primary practice location

4039 Highland St
Milan, TN 38358-3485

Mailing address

4039 Highland St
Milan, TN 38358-3485
Phone (731) 686-5135

Other names 1

  • West Tennessee Healthcare Milan Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021123000000 TN Part A Provider - Hospital 2860300167 Practice locations: Milan, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699765453. Details of each certification follow.

Hospital certification: CCN 440060

Legal name
MILAN GENERAL HOSPITAL, INC.
Doing business as
WEST TENNESSEE HEALTHCARE MILAN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 22, 1994
Beds
70
Ownership / control type
Local
Most recent change of ownership
Jan 1, 1998 (1 total)
Organization structure
CorporationNon-profit
Enrollment address
4039 S Highland St
Milan, TN 38358-3483
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Swing-bed approved

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: Hospital

Medicare Care Compare
Listed as
West Tennessee Healthcare Milan HospitalCCN 440060 · All quality measures
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Jeffrey D Blankenship Individual Corporate OfficerVP and Chief Financial Officer Oct 12, 2009
W-2 Managing EmployeeVP and Chief Financial Officer Apr 30, 2016
Milan General Hospital, Inc. Organization, Milan, TN Corporation 5% Or Greater Direct Ownership Interest Aug 24, 1998 100%
5% Or Greater Security Interest Aug 24, 1998
Sherry Scruggs Individual W-2 Managing EmployeeHospital Administrator Mar 1, 2011
Jackson Madison County General Hospital Organization, Jackson, TN Created for acquisition, Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 27, 1998 100%
Tina Prescott Individual Corporate OfficerCeo & President Sep 12, 2024
W-2 Managing EmployeeCeo & President Sep 12, 2024

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 12

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

Practitioners & affiliated clinicians

Practitioners 1

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 148

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

View all 148

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1699765453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4039 HIGHLAND ST",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383583485",
            "telephone_number": "731-686-5135",
            "fax_number": "731-686-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 HIGHLAND ST",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383583485",
            "telephone_number": "731-686-5135",
            "fax_number": "731-686-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAN GENERAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "731-541-5000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "0000000049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Tennessee Healthcare Milan Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milan, TN

Sources for this page

Verify at the official NPI Registry.