Provider Type Icon

CLEVELAND TENNESSEE HOSPITAL COMPANY LLC NPI 1831160753


NPI Information

NPI: 1831160753
Provider Name: CLEVELAND TENNESSEE HOSPITAL COMPANY LLC

Doing Business As: SKYRIDGE MEDICAL CENTER

Classification: Psychiatric Unit - 273R00000X
Entity Type: Organization
Address:
2800 WESTSIDE DR NW
CLEVELAND, TN
ZIP 37312
Phone: (423) 339-4100
Get Directions

CLEVELAND TENNESSEE HOSPITAL COMPANY LLC is a psychiatric unit in Cleveland, TN. The provider is in general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. CLEVELAND TENNESSEE HOSPITAL COMPANY LLC NPI is 1831160753. The provider is registered as an organization entity type.
The provider Is Doing Business As Skyridge Medical Center.

The provider's business location address is:

2800 WESTSIDE DR NW
CLEVELAND, TN
ZIP 37312-501
Phone: (423) 339-4100
Fax: (423) 339-4372

The provider's authorized official is William Hussey .
The authorized official title is Senior Vp, Group Operations and has the following contact phone number (888) 373-9600.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 10/12/2009.


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
1273R00000XPsychiatric Unit0000000006TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
144S185MEDICARE OSCAR/CERTIFICATIONTENNESSEE
20037608OTHERBCBS
30440185MEDICAIDTENNESSEE
4373120002OTHERCIGNA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.