NPIMap

Organization Active NPI

Spring View Hospital LLC

  • Internal Medicine Physician
  • Lebanon, KY
National Provider Identifier
1992849822
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SPRING VIEW HOSPITAL LLC
Practice address
320 Loretto Rd
Lebanon, KY 40033-1300
Phone
(270) 692-3161
NPI assigned
Feb 16, 2007
Organization subpart
Yes
Parent organization
SPRING VIEW HOSPITAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

320 Loretto Rd
Lebanon, KY 40033-1300

Mailing address

103 Powell CT
Suite 200
Brentwood, TN 37027-5079

Other identifiers 4

IdentifierTypeStateIssuer
50004001OtherPASSPORT PRO FEES
65940868MedicaidKY
000000314339OtherANTHEM BLUE CROSS
2445396000OtherPASSPORT ADVTGE. PRO FEE

Other names 1

  • Spring View Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040409000338 KY Part B Supplier - Clinic/Group Practice 3476465162 Receives reassigned benefits from 15 practitioners
2 other NPIs on this enrollment
Practice locations: Lebanon, KY; Springfield, KY

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Spring View Hospital LLC5 organizations share this tax ID, including this one
Part of
Spring View Hospital LLC

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1992849822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 POWELL CT",
            "address_2": "SUITE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LORETTO RD",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331300",
            "telephone_number": "270-692-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING VIEW HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPRING VIEW HOSPITAL LLC",
        "enumeration_date": "2007-02-16",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT PRO FEES",
            "identifier": "50004001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65940868",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000314339",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVTGE.  PRO FEE",
            "identifier": "2445396000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring View Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spring View Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.