PHC-CLEVELAND INC (NPI# 1457321036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457321036 |
| Entity Type | Organization |
| Organization Name | PHC-CLEVELAND INC |
| Other Organization Name | BOLIVAR MEDICAL CENTER |
| Practice Address |
901 E Sunflower Rd Cleveland MS 38732-2833 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 6628460061 |
| Practice Fax Number | 6628462380 |
| Mailing Telephone | 6159207000 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | KATHY J. TEAGUE (ASSISTANT VICE PRESIDENT, SECRETARY) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 16224 | MS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0220606 | 05 |
| Other Name | Type Code |
|---|---|
| Bolivar Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306142062 | Phc-cleveland Inc | Psychiatric Unit | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2011-01-28 |
| 1770889461 | Phc-cleveland Inc | Medicare Defined Swing Bed Unit | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2011-01-28 |
| 1851565170 | Phc-cleveland Inc | Family Medicine | 1 Hospital Drive, Cleveland, MS 38732-2425 | 2008-04-17 |
| 1528158532 | Phc-cleveland Inc | Radiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2006-10-13 |
| Street Address |
901 E SUNFLOWER RD |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326032665 | Jack Bittell Sewell | Radiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2005-09-01 |
| 1356733265 | G & G Health Services, LLC | Specialist | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2015-03-02 |
| 1962822692 | Catherine Tanner Petzinger | Surgery | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2014-04-21 |
| 1306142062 | Phc-cleveland Inc | Psychiatric Unit | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2011-01-28 |
| 1770889461 | Phc-cleveland Inc | Medicare Defined Swing Bed Unit | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2011-01-28 |
| 1194048231 | Delta Radiology Pllc | Radiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2010-03-03 |
| 1952537938 | Nouveau Anesthesia Medical Group | Anesthesiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2009-06-04 |
| 1396996997 | Acs Emergency Services of Mississippi Professional Association | Physician Assistant | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2008-10-02 |
| 1891968327 | Edward Kofi Lartevi Md Pmc | Emergency Medicine | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2008-04-04 |
| 1306916937 | Bolivar Pathology Services | Clinical Medical Laboratory | 901 E Sunflower Rd, 901 Hwy 8 East, Cleveland, MS 38732-2833 | 2006-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649628595 | Gina John | General Acute Care Hospital | 14205 Liberty Ave, Cleveland, OH 44135-1461 | 2016-06-01 |
| 1053682690 | St Vincent Charity Medical Center | General Acute Care Hospital | 1700 E 13th St Apt 21x, Cleveland, OH 44114-3223 | 2012-01-12 |
| 1528348208 | Cleveland Clinic | General Acute Care Hospital | 9500 Euclid Ave # Q10, Cleveland, OH 44195-0001 | 2011-08-25 |
| 1992097711 | University Hospital | General Acute Care Hospital | 6841 Day Dr Apt 801, Cleveland, OH 44129-5450 | 2011-05-12 |
| 1306177514 | Michel Pierre Moreau | General Acute Care Hospital | 9500 Euclid Ave # 31, Cleveland, OH 44195-0001 | 2010-01-28 |
| 1518197243 | Cleveland Clinic Foundation | General Acute Care Hospital | 13700 Fairhill Rd Apt 401, Cleveland, OH 44120-1275 | 2009-07-15 |
| 1336316389 | Cleveland Clinic | General Acute Care Hospital | Cleveland Clinic 9500 Euclid Ave H35, Cardiothoracic Surgery, Cleveland, OH 44195-0001 | 2008-05-09 |
| 1548430275 | Cleveland Clinic | General Acute Care Hospital | A30, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2008-03-10 |
| 1306014451 | University Hospitals | General Acute Care Hospital | 11400 Euclid Ave, Cleveland, OH 44106-5943 | 2008-02-12 |
| 1780874206 | University Hospitals Health System | General Acute Care Hospital | 11100 Euclid Ave, Lks 5029, Cleveland, OH 44106 | 2007-07-31 |
| Find all providers in CLEVELAND | ||||
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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.