Martin Health
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Martin, TN
NPI 1821060930 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1821060930
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- Legal business name
- MARTIN HEALTH
- Practice address
- 161 Mount Pelia Rd
Martin, TN 38237-3811 - Phone
- (731) 587-4261
- Fax
- (731) 588-3209
- NPI assigned
- Feb 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Tina Prescott
- Title
- President and Ceo
- Phone
- (731) 541-5000
Owners & managing parties with NPI records 3
Owned or controlled facilities with NPI records 3
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 4
Related certifications (CCN) 1
Facilities with the same owner 3
Practitioners 9
-
Fred Gregory Cox, MD
-
Hunter J Crouse, DO
-
Elizabeth R Frazier, APRN
-
Amiee Foley Stooksberry, APRN
-
Kathryn J Glass, MD
-
Melissa Yvette Turner, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Hospital certification: CCN 44U061
- Legal name
- MARTIN HEALTH
- Doing business as
- WEST TENNESSEE HEALTHCARE VOLUNTEER HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 12, 2018 in TN
- Enrollment address
- 161 Mount Pelia Rd
Martin, TN 38237-3811 - Hospital subgroups
- Acute care, Swing-bed approved
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Jeffrey D Blankenship |
Corporate Officer |
Apr 12, 2018 | |
| W-2 Managing Employee |
Apr 12, 2018 | ||
| Martin Health |
5% Or Greater Direct Ownership Interest | Jun 1, 2018 | 100% |
| Tina Prescott |
Corporate Officer |
Sep 12, 2024 | |
| W-2 Managing Employee |
Sep 12, 2024 |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| West Tennessee Healthcare Volunteer Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2018 |
| West Tennessee Medical Group Primary Care Martin |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2018 |
| West Tennessee Medical Group Hillview South Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180730001512 | TN | Part a Provider - Hospital | 5193070613 | Practice locations: Martin, TN |
National Provider Directory
- Tax ID family
- Martin Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 0000000126 | TN | |
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Yes |
Addresses
Primary practice location
161 Mount Pelia Rd
Martin, TN 38237-3811
Mailing address
161 Mount Pelia Rd
Martin, TN 38237-3811
Phone (731) 587-4261
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044-U061 | Medicaid | TN |
Other names
- West Tennessee Healthcare Volunteer Hospital
Other providers in Martin, TN
- Martin Children'S Clinic, LLC
- Martin Clinic Corp
- Martin Clinic Corp
- Martin Health
- Martin Health
- Martin Health
- Martin Hospital Company LLC
- Martin Hospital Corporation
- Martin Medical Center, P.C.
- Martin Medical Center, P.C.
All providers in Martin, TN · Medicare Defined Swing Bed Hospital Unit 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.