Active NPI
Cleveland Tennessee Hospital Company LLC
- Psychiatric Hospital Unit
- Cleveland, TN
National Provider Identifier
1831160753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 0000000006
- Legal business name
- CLEVELAND TENNESSEE HOSPITAL COMPANY LLC
- Practice address
- 2800 Westside Dr NW
Cleveland, TN 37312-3501 - Phone
- (423) 339-4100
- Fax
- (423) 339-4372
- NPI assigned
- Jan 30, 2006
- Organization subpart
- Yes
- Parent organization
- NATIONAL HEALTHCARE OF CLEVELAND INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Hussey
- Title
- Senior VP, Group Operations
- Phone
- (888) 373-9600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 0000000006 | TN | Primary |
Addresses
Primary practice location
2800 Westside Dr NW
Cleveland, TN 37312-3501
Mailing address
PO Box 198029
Atlanta, GA 30384-8029
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0440185 | Medicaid | TN | |
| 0037608 | Other | BCBS | |
| 373120002 | Other | CIGNA |
Other names 1
- Skyridge Medical Center
National Provider Directory
National Provider Directory- Part of
- National Healt H Care of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255305600000",
"number": "1831160753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 198029",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303848029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 WESTSIDE DR NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123501",
"telephone_number": "423-339-4100",
"fax_number": "423-339-4372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEVELAND TENNESSEE HOSPITAL COMPANY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NATIONAL HEALTHCARE OF CLEVELAND INC",
"enumeration_date": "2006-01-30",
"last_updated": "2009-10-12",
"status": "A",
"authorized_official_last_name": "HUSSEY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "SENIOR VP, GROUP OPERATIONS",
"authorized_official_telephone_number": "888-373-9600"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "TN",
"license": "0000000006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0440185",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0037608",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "373120002",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Skyridge Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.