Organization Active NPI

Central Tennessee Hospital Corporation

  • Psychiatric Hospital Unit
  • Dickson, TN
National Provider Identifier
1952355992
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
CENTRAL TENNESSEE HOSPITAL CORPORATION
Doing business as
TRISTAR HORIZON MEDICAL CENTER
Practice address
111 Highway 70 E
Dickson, TN 37055-2080
Phone
(615) 441-2357
Fax
(615) 441-2514
NPI assigned
May 22, 2006
Organization subpart
Yes
Parent organization
CENTRAL TENNESSEE HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Clarence Gray
Title
Cfo
Phone
(615) 326-2530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

111 Highway 70 E
Dickson, TN 37055-2080

Mailing address

111 Highway 70 E
Dickson, TN 37055-2080
Phone (615) 441-2357

Other identifiers 4

IdentifierTypeStateIssuer
458792000OtherTNMAGELLAN PPO & HMO
044S046MedicaidTN
024516002OtherTNTNCARE PREMIER/TBH
1000128OtherTNMAGELLAN BLUE CROSS

Other names 1

  • TRISTAR HORIZON MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory
Part of
Columbia Horizon Med CT

Member of 2

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

Locations

107 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1952355992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HIGHWAY 70 E",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552080",
            "telephone_number": "615-441-2357",
            "fax_number": "615-441-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HIGHWAY 70 E",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552080",
            "telephone_number": "615-441-2357",
            "fax_number": "615-441-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TENNESSEE HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL TENNESSEE HOSPITAL CORPORATION",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-326-2530"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PPO & HMO",
            "identifier": "458792000",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044S046",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TNCARE PREMIER/TBH",
            "identifier": "024516002",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BLUE CROSS",
            "identifier": "1000128",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRISTAR HORIZON MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dickson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.