HTI MEMORIAL HOSPITAL CORPORATION (NPI# 1417086596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417086596 |
| Entity Type | Organization |
| Organization Name | HTI MEMORIAL HOSPITAL CORPORATION |
| Other Organization Name | TRISTAR SKYLINE MEDICAL CENTER |
| Practice Address |
500 Hospital Drive Madison TN 37115-5031 |
| Practice Telephone | 6157692000 |
| Practice Fax Number | 6157697102 |
| Mailing Telephone | 6157692000 |
| Mailing Fax Number | 6157697102 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2012-06-22 |
| Authorized Official Name | BRAD SCHULTZ (CFO) |
| Authorized Official Telephone | 6157697100 |
| Is Organization Subpart | Y |
| Parent Organization Name | HTI MEMORIAL HOSPITAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TNCARE PREMIER/TBH | 136908000 | 01 |
| BCBS ADOLESCENT PSYCH | 4139992 | 01 |
| Other Name | Type Code |
|---|---|
| TRISTAR SKYLINE MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114968526 | Hti Memorial Hospital Corporation | Psychiatric Unit | 500 Hospital Dr, Madison, TN 37115-5031 | 2006-06-08 |
| 1023059433 | Hti Memorial Hospital Corporation | Psychiatric Unit | 500 Hospital Dr, Madison, TN 37115-5031 | 2006-06-08 |
| 1295780476 | Hti Memorial Hospital Corporation | Psychiatric Hospital | 3441 Dickerson Pike, Nashville, TN 37207-2539 | 2006-05-24 |
| 1760437685 | Hti Memorial Hospital Corporation | General Acute Care Hospital | 3441 Dickerson Pike, Nashville, TN 37207-2539 | 2006-05-23 |
| 1639123615 | Hti Memorial Hospital Corporation | Rehabilitation Unit | 3441 Dickerson Pike, Nashville, TN 37207-2539 | 2006-05-22 |
| 1093769606 | Hti Memorial Hospital Corporation | General Acute Care Hospital | 3441 Dickerson Pike, Nashville, TN 37207-2539 | 2006-05-19 |
| Street Address |
500 HOSPITAL DRIVE |
| City | MADISON |
| State | TN |
| Zip Code | 37115-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
| 1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
| 1659866481 | Amanda Elliott | Pharmacist | 109 Gallatin Rd, Madison, TN 37115 | 2018-06-25 |
| 1760938492 | Larry Cox | Case Manager/Care Coordinator | 620 S. Gallatin Pike, Madison, TN 37115 | 2016-09-01 |
| 1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
| 1992190193 | Emily Tibbs | Case Manager/Care Coordinator | 620 Gallatin Pike, Madison, TN 37115 | 2015-04-03 |
| 1164829982 | Laura Boswell | Case Manager/Care Coordinator | 620 Gallatin Pike South, Madison, TN 37115 | 2014-11-21 |
| 1720498058 | Edward Andrew Roberts | Chiropractor | 1710 Gallatin Pike N, Madison, TN 37115 | 2014-05-08 |
| 1700296217 | Lamonia Merritt | Student in an Organized Health Care Education/Training Program | 645 Cheyenne Blvd, Madison, TN 37115 | 2014-05-06 |
| 1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
| Find all providers in zip 37115 | ||||
| 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 |
|---|---|---|---|---|
| 1548280225 | Meriter Hospital, Inc. | Psychiatric Unit | 202 S Park St, Madison, WI 53715-1507 | 2006-07-19 |
| 1235174426 | University of Wisconsin Hospitals and Clinics Authority | Psychiatric Unit | 600 Highland Ave, Compliance Mail Code 2433, Madison, WI 53792-0001 | 2006-06-19 |
| 1386688240 | Ssm Health Care of Wisconsin, Inc | Psychiatric Unit | 700 S Park St, Madison, WI 53715-1830 | 2006-06-15 |
| 1245271741 | Tcmc Madison-portland, Inc. | Psychiatric Unit | 500 Hospital Dr, Madison, TN 37115-5031 | 2006-06-08 |
| 1114968526 | Hti Memorial Hospital Corporation | Psychiatric Unit | 500 Hospital Dr, Madison, TN 37115-5031 | 2006-06-08 |
| 1023059433 | Hti Memorial Hospital Corporation | Psychiatric Unit | 500 Hospital Dr, Madison, TN 37115-5031 | 2006-06-08 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.