SBH-KINGSPORT


Address: 1025 Executive Park Blvd, Kingsport, TN 37660
Phone: 9019693100

SBH-KINGSPORT (NPI# 1174038749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174038749
Entity Type Organization
Organization Name SBH-KINGSPORT
Other Organization Name CREEKSIDE BEHAVIORAL HEALTH
Practice Address 1025 Executive Park Blvd
Kingsport
TN 37660
Mailing Address 8295 Tournament Dr Ste 201
Memphis
TN 38125-8913
Practice Telephone 9019693100
Mailing Telephone 9019693100
Enumeration Date 2017-12-05
Last Update Date 2020-01-09
Authorized Official Name MIRIAM CHAMBLISS (CORPORATE COMPLIANCE OFFICER)
Authorized Official Telephone 9019693111
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 283Q00000X Psychiatric Hospital Hospitals

Other Provider/Organization Names

Other Name Type Code
Creekside Behavioral Health Doing Business As Name - Organization

Office Location

Street Address 1025 EXECUTIVE PARK BLVD
City KINGSPORT
State TN
Zip Code 37660

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205443058 Clinton Davis Nurse Practitioner 1025 Executive Park Blvd, Kingsport, TN 37660-4620 2020-09-25
1063021087 Leslie Renee Trivett Nurse Practitioner 1025 Executive Park Blvd, Kingsport, TN 37660-4620 2020-07-27
1114543642 Phillip Connors Nurse Practitioner 1025 Executive Park Blvd, Kingsport, TN 37660-4620 2020-06-20
1477103661 Mary Evans Social Worker 1025 Executive Park Blvd, Kingsport, TN 37660-4620 2019-09-19
1063065621 Stefani Ellis Nurse Practitioner 1025 Executive Park Blvd, Kingsport, TN 37660-4620 2019-07-22
1245798107 Kelly Hyder Nurse Practitioner 1025 Executive Park Blvd, Kingsport, TN 37660-4620 2019-03-08
1285117606 Shane Stephens Nurse Practitioner 1025 Executive Park Blvd, Kingsport, TN 37660-4620 2018-09-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750909891 Nancy Gober Pharmacist Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 2020-07-06
1700437621 Tammy Denise Leblanc Technician 125 Lancer Rd, Kingsport, TN 37660 2019-09-23
1831743392 Independent Physical Therapy Occupational Therapist 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 2019-08-01
1871095315 Macie Anderson Nurse Practitioner 411 Clay St, Kingsport, TN 37660 2018-03-01
1053813527 Pulitzer Orthodontics, LLC Dentist 1200 Pulitzer Place, Kingsport, TN 37660 2018-03-01
1548771447 Sara B Ball Registered Nurse 111 W Stone Dr Ste 240, Kingsport, TN 37660 2017-10-18
1821525361 Ashley Brook Weems Nurse Practitioner Six Sheridan Square Suite 100, Kingsport, TN 37660 2017-05-15
1639625643 Stephanie H Garris Nurse Practitioner 117 W Sevier Ave Ste 120, Kingsport, TN 37660 2016-08-30
1073965679 Teresa Anne Starke Physician Assistant 8 Sheridan Square, Suite 110, Kingsport, TN 37660 2016-07-07
1316323231 Alexandra Rebecca Mccracken Speech-Language Pathologist 301 Louis St. #101, Mountain Region Speech & Hearing Center, Kingsport, TN 37660 2015-08-03
Find all providers in zip 37660

Taxonomy Information

Taxonomy Code 283Q00000X
Grouping Hospitals
Classification Psychiatric Hospital

Taxonomy Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568006633 Cumberland Behavioral Health, LLC Psychiatric Hospital 300 Great Circle Rd, Nashville, TN 37228-1752 2019-11-01
1124672704 Tristar Maury Behavioral Healthcare, LLC Psychiatric Hospital 1001 N James M Campbell Blvd, Columbia, TN 38401-2689 2019-07-31
1306354790 Erlanger Behavioral Health, LLC Psychiatric Hospital 804 North Holtzclaw Avenue, Chattanooga, TN 37404 2018-01-19
1114452216 Cherie J Landon Psychiatric Hospital 7206 John Norton Rd, Knoxville, TN 37920-6630 2017-04-26
1952769119 Crestwyn Health Group, LLC Psychiatric Hospital 9485 Crestwyn Hills Cove, Memphis, TN 38125 2016-02-03
1235516097 Behavioral Healthcare Center At Memphis, Inc. Psychiatric Hospital 1505 N Second Street, Memphis, TN 38107 2015-04-30
1215324033 Aaa Psychiatric Services, Pllc Psychiatric Hospital 5147 Wemberley Dr, Memphis, TN 38125-3469 2015-04-20
1932592953 Generations Behavioral Health LLC Psychiatric Hospital 4423 Forsythe Place, Nashville, TN 37205 2015-03-16
1497012959 Trustpoint Hospital, LLC Psychiatric Hospital 1009 N. Thompson Ln, Murfreesboro, TN 37128 2012-04-20
1346570777 Behavioral Healthcare Center At Clarksville Inc Psychiatric Hospital 930 Professional Park Drive, Clarksville, TN 37040 2010-01-07
Find all providers with the same taxonomy

Competitor

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City KINGSPORT
Zip Code 37660

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Dataset Information

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.

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