SP Acquisition Corp.

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

0000002180 Issued in TN

Legal business name

SP ACQUISITION CORP.

Doing business as

Grandview Medical Center

Practice address

1000 Highway 28
Jasper, TN 37347-3638

Phone

(423) 837-9500

Fax

(423) 837-3333

NPI assigned

May 4, 2006

Last updated

Jul 20, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

SP ACQUISITION CORP.As reported in NPPES

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

Authorized official

Name

S Ray Coffey

Title

VP, Reimbursement

Phone

(615) 764-3009

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Grandview Medical Center Doing business as

Part of

SP Aquisition Corporation

Locations

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1881642841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 28",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473638",
            "telephone_number": "423-837-9500",
            "fax_number": "423-837-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 28",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473638",
            "telephone_number": "423-837-9500",
            "fax_number": "423-837-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SP ACQUISITION CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SP ACQUISITION CORP.",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "VP, REIMBURSEMENT",
        "authorized_official_telephone_number": "615-764-3009"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "TN",
            "license": "0000002180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044S064",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BC",
            "identifier": "4022166",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000083",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222276000",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grandview Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sequatchie Valley Urology, LLC
• John Harrison Shea, DDS
• Adria Sherrill, APN
• Andrea Simmons, NP
• Southern Home Care Services, Inc. (All Ways Caring HomeCare)
• State of Tennessee (Marion County Health Department)
• Heather Leeann Stepp, DPT
• Amanda Stevens
• Kevin Stevens, MD
• Leah Rhaell Stewart, APRN

• Psychiatric Hospital Unit in Jasper, TN
• Providers in Jasper, TN by specialty
• Psychiatric Hospital Unit in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.