NPIMap

Saint Thomas Highlands Hospital, LLC

Organization Active NPI General Acute Care Hospital · Sparta, TN

NPI 1922487966 · NPPES record last updated Aug 11, 2020

Key facts

NPI
1922487966
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
Legal business name
SAINT THOMAS HIGHLANDS HOSPITAL, LLC
Practice address
401 Sewell Dr
Sparta, TN 38583-1223
Phone
(931) 738-9211
NPI assigned
May 22, 2015
Organization subpart
No

Authorized official

Name
Lisa R Davis
Title
Cfo
Phone
(615) 284-6845

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 164

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

View all 164

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 120

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

View all 120

Medicare Care Compare: Hospital

Listed as
Saint Thomas Highlands Hospital CCN 440192
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Hospital certification: CCN 440192

Legal name
SAINT THOMAS HIGHLANDS HOSPITAL LLC
Doing business as
ASCENSION SAINT THOMAS HIGHLANDS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 1, 1978
Last certification
Dec 1, 2006
Beds
60
Ownership / control type
Private (for profit)
Most recent change of ownership
Aug 1, 2015 (4 total)
Organization structure
LLC · Non-profit
Enrollment address
401 Sewell Dr
Sparta, TN 38583-1223
Main/Primary Hospital Location
Hospital subgroups
Acute care

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Brandon Williams
Individual 		Corporate Officer
Cfo		 Jul 1, 2019
Saint Thomas Regional Hospitals
Organization · Nashville, TN
Non-profit 		5% Or Greater Indirect Ownership Interest Aug 1, 2015 100%
Robert Arthur Peglow
Individual 		W-2 Managing Employee
Chief Administrative Officer		 Jan 1, 2020
Saint Thomas Highlands Hospital LLC
Organization · Nashville, TN
Non-profit 		5% Or Greater Indirect Ownership Interest Aug 1, 2015 100%
Saint Thomas Health
Organization · Nashville, TN
Non-profit 		5% Or Greater Indirect Ownership Interest Aug 1, 2015 100%
Ascension Health
Organization · Saint Louis, MO
Non-profit 		5% Or Greater Indirect Ownership Interest Aug 1, 2015 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20150904000453 TN Part a Provider - Hospital 7618283623 Practice locations: Cookeville, TN; Sparta, TN

National Provider Directory

Tax ID family
Saint Thomas Highlands Hospital LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Yes

Addresses

Primary practice location

401 Sewell Dr
Sparta, TN 38583-1223

Mailing address

102 Woodmont Blvd
Suite 800
Nashville, TN 37205-2287

Other names

  • Ascension Saint Thomas Highlands Doing business as

Other providers in Sparta, TN

All providers in Sparta, TN · General Acute Care Hospital in Tennessee

Sources for this page

Verify at the official NPI Registry.