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CLEVELAND TENNESSEE HOSPITAL COMPANY LLC NPI 1790756203

NPI Profile

NPI: 1790756203

Provider Name: CLEVELAND TENNESSEE HOSPITAL COMPANY LLC

Doing Business As: SKYRIDGE MEDICAL CENTER WESTSIDE CAMPUS

Classification: General Acute Care Hospital - 282N00000X

Entity Type: Organization

Address:
2305 CHAMBLISS AVE NW
CLEVELAND, TN
ZIP 37311

Phone: (423) 559-6000

CLEVELAND TENNESSEE HOSPITAL COMPANY LLC is a general acute care hospital in Cleveland, TN. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. CLEVELAND TENNESSEE HOSPITAL COMPANY LLC NPI is 1790756203. The provider is registered as an organization entity type.
The provider Is Doing Business As Skyridge Medical Center Westside Campus.

The provider's business location address is:

2305 CHAMBLISS AVE NW
CLEVELAND, TN
ZIP 37311-847
Phone: (423) 559-6000
Fax: (423) 559-6653

The provider's authorized official is Laurie Holtsford .
The authorized official title is Authorizied Official / Director and has the following contact phone number (615) 465-7466.

The enumeration date for this NPI number is 2/1/2006 and was last updated on 10/8/2009.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 282N00000X General Acute Care Hospital 0000000006 TENNESSEE Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/10/2015