WOODS MEMORIAL HOSPITAL LLC (NPI# 1114288511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114288511 |
Entity Type | Organization |
Organization Name | WOODS MEMORIAL HOSPITAL LLC |
Practice Address |
886 Highway 411 N Etowah TN 37331-1912 |
Mailing Address |
103 Powell Ct Brentwood TN 37027-5079 |
Practice Telephone | 4232633600 |
Mailing Telephone | 6153728500 |
Mailing Fax Number | 6153728572 |
Enumeration Date | 2012-06-01 |
Last Update Date | 2012-06-01 |
Authorized Official Name | MICHAEL B. CLARK (PRESIDENT) |
Authorized Official Telephone | 6153728500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | Hospital Units |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134480155 | Woods Memorial Hospital LLC | General Acute Care Hospital | 886 Highway 411 N, Etowah, TN 37331-1912 | 2012-06-06 |
1114288131 | Woods Memorial Hospital LLC | Nursing Facility/Intermediate Care Facility | 886 Highway 411 N, Etowah, TN 37331-1912 | 2012-06-06 |
1215298237 | Woods Memorial Hospital LLC | Medicare Defined Swing Bed Unit | 886 Highway 411 N, Etowah, TN 37331-1912 | 2012-06-06 |
Street Address |
886 HIGHWAY 411 N |
City | ETOWAH |
State | TN |
Zip Code | 37331-1912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437156619 | Daniel Dorn Hignight Jr. | Nurse Anesthetist, Certified Registered | 886 Highway 411 N, Etowah, TN 37331-1912 | 2005-07-04 |
1730542309 | Athens Physicians Practice, LLC | Family Medicine | 886 Highway 411 N, Suite A, Etowah, TN 37331-1912 | 2016-03-31 |
1033585930 | Beckey Buck | Nurse Practitioner | 886 Highway 411 N, Etowah, TN 37331-1912 | 2015-08-13 |
1124456389 | Athens Regional Medical Center LLC | Nursing Facility/Intermediate Care Facility | 886 Highway 411 N, Etowah, TN 37331-1912 | 2013-10-28 |
1417399767 | Lachelle Renee Cardin | Occupational Therapy Assistant | 886 Highway 411 N, Etowah, TN 37331-1912 | 2013-07-26 |
1134480155 | Woods Memorial Hospital LLC | General Acute Care Hospital | 886 Highway 411 N, Etowah, TN 37331-1912 | 2012-06-06 |
1114288131 | Woods Memorial Hospital LLC | Nursing Facility/Intermediate Care Facility | 886 Highway 411 N, Etowah, TN 37331-1912 | 2012-06-06 |
1215298237 | Woods Memorial Hospital LLC | Medicare Defined Swing Bed Unit | 886 Highway 411 N, Etowah, TN 37331-1912 | 2012-06-06 |
1427387653 | Jackie W Berry | Dietitian, Registered | 886 Highway 411 N, Etowah, TN 37331-1912 | 2009-12-17 |
1770750341 | Appalachian Medical Services LLC | Emergency Medicine | 886 Highway 411 N, Etowah, TN 37331-1912 | 2008-05-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083081277 | K Va T Food Stores, Inc | Durable Medical Equipment & Medical Supplies | 841 Us 411 North, Etowah, TN 37331 | 2015-08-24 |
1891979969 | Tennessee Valley Bone and Joint, PC | Orthopaedic Surgery | 410 Grady Road, Etowah, TN 37331 | 2007-12-24 |
1992835037 | Jarrett Swafford | Pharmacist | 733 Lawrence St, Etowah, TN 37331 | 2007-03-07 |
1982750402 | Yung Gil Lee | General Practice | 315 Grady Rd, Etowah, TN 37331 | 2007-01-26 |
1770636227 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 733 Lawrence Street, Etowah, TN 37331 | 2007-01-19 |
1356499172 | Tennessee Cancer Specialists, Pllc | Internal Medicine | Highway 411 North, Etowah, TN 37331 | 2007-01-08 |
1831265941 | Charles David Brown | Dentist | 920 Highway 411 North, Etowah, TN 37331 | 2006-11-28 |
1326066788 | Jeffrey Allan Anderson | Pharmacist | 725 Tennessee Ave, Etowah, TN 37331 | 2006-07-17 |
1316920135 | Air Evac Ems Inc | Ambulance | 100 Robinson St, Etowah, TN 37331 | 2005-11-25 |
1134185358 | Nathan Craig Trentham | Internal Medicine | 301 Grady Road, Etowah, TN 37331-0325 | 2006-04-25 |
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Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
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. |
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689852485 | Doctors Hospital of Mcminn County, LLC | Psychiatric Unit | 886 Highway 411 N, Etowah, TN 37331-1912 | 2008-02-04 |
1447304274 | Woods Memorial Hospital | Psychiatric Unit | 886 Highway 411 N, Etowah, TN 37331-1912 | 2007-01-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376719419 | Hca Health Services of Tennessee, Inc. | Psychiatric Unit | 391 Wallace Road, Nashville, TN 37211-4851 | 2008-05-07 |
1831223635 | Lincoln Medical Center | Psychiatric Unit | 1681 Winchester Hwy, Fayetteville, TN 37334-2758 | 2007-03-15 |
1558499483 | Perry Community Hospital, LLC | Psychiatric Unit | 2718 Squirrel Hollow Dr, Linden, TN 37096-3526 | 2007-03-01 |
1760405849 | Wellmont Health System | Psychiatric Unit | 1905 American Way, Kingsport, TN 37660-5882 | 2006-07-26 |
1821030842 | Vanderbilt University Medical Center | Psychiatric Unit | 500 Park Avenue, Lebanon, TN 37087-3721 | 2006-06-12 |
1558319863 | Parkridge Medical Center, Inc. | Psychiatric Unit | 2200 Morris Hill Rd, Chattanooga, TN 37421-2818 | 2006-05-05 |
1295792125 | Baptist Memorial Hospital- Lauderdale | Psychiatric Unit | 326 Asbury Ave, Ripley, TN 38063-5577 | 2006-04-26 |
1306818265 | State of Tennessee F&a Payroll | Psychiatric Unit | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2006-02-06 |
1548241953 | Campbell County Hma, LLC | Psychiatric Unit | 923 E Central Ave, La Follette, TN 37766-2768 | 2005-11-11 |
1346854577 | Methodist Healthcare East Hospital | Psychiatric Unit | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.