Milan General Hospital, Inc.
Organization Active NPI General Acute Care Hospital · Milan, TN
NPI 1699765453 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1699765453
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 0000000049 (TN)
- Legal business name
- MILAN GENERAL HOSPITAL, INC.
- Practice address
- 4039 Highland St
Milan, TN 38358-3485 - Phone
- (731) 686-5135
- Fax
- (731) 686-5129
- NPI assigned
- Oct 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Ms. Tina Prescott
- Title
- President and Ceo
- Phone
- (731) 541-5000
Owners & managing parties with NPI records 9
Other NPIs with the same Medicare PAC ID 1
Related certifications (CCN) 1
Facilities with the same owner 12
Practitioners 1
-
Kenneth H Tozer II, M.D.
Affiliated clinicians 148
-
Adenike Adedeji, FNP
-
Troy D Adkins, APN
-
Misty Allen, M.D.
-
Patrick N Andre, MD
-
Nicolas Appleton, MD
-
Festus N Arinze, M.D.
-
John Baker, MD
-
Caitlin Black, MD
-
Joe David Blankenship, M.D.
-
Shannon Burke, D.O.
-
Loren Carroll, MD
-
Melissa Ann Carson, FNP-C
-
Danna Smith Castleman, PA-C
-
Daniel Phillip Clements, PA-C
-
Ashton Coles, FNP-BC
Medicare Care Compare: Hospital
- Listed as
- West Tennessee Healthcare Milan Hospital
- Type
- Acute Care Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
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
- Corporation · Non-profit
- Enrollment address
- 4039 S Highland St
Milan, TN 38358-3483 - Hospital subgroups
- General, Acute care, Swing-bed approved
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Jeffrey D Blankenship |
Corporate Officer |
Oct 12, 2009 | |
| W-2 Managing Employee |
Apr 30, 2016 | ||
| Milan General Hospital, Inc. |
5% Or Greater Direct Ownership Interest | Aug 24, 1998 | 100% |
| 5% Or Greater Security Interest | Aug 24, 1998 | ||
| Sherry Scruggs |
W-2 Managing Employee |
Mar 1, 2011 | |
| Jackson Madison County General Hospital |
5% Or Greater Direct Ownership Interest | Aug 27, 1998 | 100% |
| Tina Prescott |
Corporate Officer |
Sep 12, 2024 | |
| W-2 Managing Employee |
Sep 12, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20021123000000 | TN | Part a Provider - Hospital | 2860300167 | Practice locations: Milan, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 0000000049 | TN | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0440060 | Medicaid | TN |
Other names
- West Tennessee Healthcare Milan Hospital
Other providers in Milan, TN
- Lisa K Medlin
- Lindsey Purvis Michelotti
- Milan Eye Clinic
- Milan General Hospital
- Milan General Hospital, Inc.
- Milan Hometown Pharmacy
- Milan Medical Center, P.C.
- Milan Physical Therapy P.C.
- Milan Residential, LLC
- Milan Residential, LLC
All providers in Milan, TN · General Acute Care Hospital in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.