DICKENSON COMMUNITY HOSPITAL, INC (NPI# 1376933580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376933580 |
| Entity Type | Organization |
| Organization Name | DICKENSON COMMUNITY HOSPITAL, INC |
| Other Organization Name | DICKENSON PSYCHIATRIC UNIT |
| Practice Address |
312 Hospital Dr Clintwood VA 24228-6786 |
| Mailing Address |
311 Princeton Rd Ste 1 Johnson City TN 37601-2026 |
| Practice Telephone | 2769260357 |
| Practice Fax Number | 2769260329 |
| Mailing Telephone | 2769260357 |
| Mailing Fax Number | 2769260329 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2018-02-05 |
| Authorized Official Name | MARY LYNN KRUTAK (EVP/CFO) |
| Authorized Official Telephone | 4233023423 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 0000000119 | VA | Hospital Units |
| Other Name | Type Code |
|---|---|
| Dickenson Psychiatric Unit | Doing Business As Name - Organization |
| Street Address |
312 HOSPITAL DR |
| City | CLINTWOOD |
| State | VA |
| Zip Code | 24228-6786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063407773 | Jana K Dreyzehner | Psychiatry & Neurology | 312 Hospital Dr, Clintwood, VA 24228-6786 | 2005-09-19 |
| 1659980373 | Christa Briana Setser | Nurse Practitioner | 312 Hospital Dr, Clintwood, VA 24228-6786 | 2020-07-28 |
| 1073121125 | Christy Jolene Lambert | Nurse Practitioner | 312 Hospital Dr, Clintwood, VA 24228-6786 | 2020-07-15 |
| 1841338498 | Ivory Brian Steffey | Social Worker | 312 Hospital Dr, Clintwood, VA 24228-6786 | 2007-02-02 |
| 1619029105 | Dickenson Community Hospital, Inc. | Medicare Defined Swing Bed Unit | 312 Hospital Dr, Clintwood, VA 24228-6786 | 2007-01-17 |
| 1811934698 | Rimon Ibrahim | Emergency Medicine | 312 Hospital Dr, Clintwood, VA 24228-6786 | 2006-06-01 |
| 1285685727 | Dickenson Community Hospital, Inc. | General Acute Care Hospital | 312 Hospital Dr, Clintwood, VA 24228-6786 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851816953 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5451 Dickenson Hwy, Clintwood, VA 24228 | 2017-08-09 |
| 1669902243 | Mountain States Health Alliance | Hospice Care, Community Based | 312 Hospital Dr Suite 1b, Clintwood, VA 24228 | 2017-06-15 |
| 1316476211 | Mountain States Health Alliance | Home Health | 312 Hospital Dr Suite 1a, Clintwood, VA 24228 | 2017-06-06 |
| 1134667009 | Amy Meade | Pharmacist | 342 Main Street, Clintwood, VA 24228 | 2017-02-10 |
| 1881087385 | Family Preservation Services, Inc | Community/Behavioral Health | 1381 Rose Ridge Ct, Clintwood, VA 24228 | 2015-03-09 |
| 1477951515 | Tauna Gulley | Nurse Practitioner | 233 Chase Street, Suite 100, Clintwood, VA 24228 | 2014-12-05 |
| 1740696152 | Family Preservation Services, Inc. | Community/Behavioral Health | 5123 Dickenson Highway, Clintwood, VA 24228 | 2014-07-07 |
| 1962816884 | Family Preservation Services, Inc | Community/Behavioral Health | 5123 & 5127 Dickenson Highway, Clintwood, VA 24228 | 2014-06-18 |
| 1003163643 | Family Preservation Services, Inc | Community/Behavioral Health | 150 Elementary Circle, Clintwood, VA 24228 | 2012-08-14 |
| 1265739122 | Family Preservation Services, Inc. | Community/Behavioral Health | Technology Park Drive, Clintwood, VA 24228 | 2011-02-11 |
| Find all providers in zip 24228 | ||||
| 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. |
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|---|---|---|---|---|
| 1326594524 | Virginia Commonwealth University Health System | Psychiatric Unit | 1300 E. Marshall Street, Suite 275 3rd F, Richmond, VA 23298 | 2016-08-28 |
| 1528005691 | Lewis-gale Medical Center, LLC | Psychiatric Unit | 1902 Braeburn Dr, Salem, VA 24153-7304 | 2006-05-31 |
| 1922004530 | Chesapeake Hospital Corporation | Psychiatric Unit | 101 Harris Rd, Kilmarnock, VA 22482-3880 | 2005-06-28 |
| 1467097535 | Bon Secours Mercy Health Emporia LLC | Psychiatric Unit | 727 N Main St, Emporia, VA 23847-1274 | 2019-11-13 |
| 1477018893 | Pulaski Community Hospital, Inc. | Psychiatric Unit | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2019-02-11 |
| 1790135622 | Chesapeake Hospital LLC | Psychiatric Unit | 101 Harris Rd, Kilmarnock, VA 22482-3880 | 2016-06-22 |
| 1902274681 | Southwestern Virginia Mental Health Institute | Psychiatric Unit | 340 Bagley Cir, Marion, VA 24354-3126 | 2015-09-11 |
| 1164815544 | Chippenham & Johnston-willis Hospitals, Inc. | Psychiatric Unit | 7101 Jahnke Rd, Richmond, VA 23225-4017 | 2015-03-10 |
| 1790178176 | Columbia/hca John Randolph, Inc. | Psychiatric Unit | 411 W Randolph Rd, Hopewell, VA 23860-2938 | 2015-03-10 |
| 1609269083 | Lewis-gale Medical Center, LLC | Psychiatric Unit | 1902 Braeburn Dr, Salem, VA 24153-7304 | 2015-03-10 |
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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.