HICKMAN COMMUNITY HEALTH SERVICES (NPI# 1649491473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649491473 |
Entity Type | Organization |
Organization Name | HICKMAN COMMUNITY HEALTH SERVICES |
Other Organization Name | ASCENSION SAINT THOMAS HICKMAN HOSPITAL PHARMACY |
Practice Address |
135 E Swan St Centerville TN 37033-1417 |
Practice Telephone | 9317294271 |
Practice Fax Number | 9317296814 |
Mailing Telephone | 9317294271 |
Mailing Fax Number | 9317296814 |
Enumeration Date | 2007-05-01 |
Last Update Date | 2020-08-11 |
Authorized Official Name | LISA R DAVIS (CFO) |
Authorized Official Telephone | 6152846845 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
234 | TN | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | NCPDP | 4414037 | 01 |
Other Name | Type Code |
---|---|
Ascension Saint Thomas Hickman Hospital Pharmacy | Doing Business As Name - Organization |
Hickman Community Hospital Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669564803 | Hickman Community Health Services | Nursing Facility/Intermediate Care Facility | 135 E Swan St, Centerville, TN 37033-1417 | 2006-09-28 |
Street Address |
135 E SWAN ST |
City | CENTERVILLE |
State | TN |
Zip Code | 37033-1417 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336126838 | Robert H Edwards | Urology | 135 E Swan St, Centerville, TN 37033-1417 | 2005-12-27 |
1295277200 | Andy Allen Ross | Physical Therapist | 135 E Swan St, Centerville, TN 37033-1417 | 2016-11-08 |
1386824811 | Tennessee Orthopaedic Alliance Pa | Durable Medical Equipment & Medical Supplies | 135 E Swan St, Centerville, TN 37033-1417 | 2007-11-13 |
1013103449 | Monam B Awan | Family Medicine | 135 E Swan St, Centerville, TN 37033-1417 | 2007-09-19 |
1205050002 | Thomas E. Thrush | Emergency Medicine | 135 E Swan St, Centerville, TN 37033-1417 | 2007-04-12 |
1669564803 | Hickman Community Health Services | Nursing Facility/Intermediate Care Facility | 135 E Swan St, Centerville, TN 37033-1417 | 2006-09-28 |
1124052105 | Marek Durakiewicz | Emergency Medicine | 135 E Swan St, Centerville, TN 37033-1417 | 2006-07-10 |
1740218114 | Anup K. Satpathy | Emergency Medicine | 135 E Swan St, Centerville, TN 37033-1417 | 2006-06-28 |
1982630653 | Saint Thomas Home Health | Home Health | 135 E Swan St, Centerville, TN 37033-1417 | 2006-06-24 |
1245275254 | Saint Thomas Hickman Hospital | Medicare Defined Swing Bed Unit | 135 E Swan St, Centerville, TN 37033-1417 | 2006-06-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225550031 | Saint Thomas Health | Pharmacy | 150 East Swan Street, Centerville, TN 37033 | 2017-07-13 |
1558726109 | Rebecca Schmid | Nurse Practitioner | 1518 Hwy 100, Centerville, TN 37033 | 2015-12-28 |
1144589458 | Robert Wilson | Chiropractor | 132a N Central Ave, Centerville, TN 37033 | 2012-05-07 |
1053543256 | Sandra Elliott Tinnin | Midwife | 1180 Sulpher Creek Rd., Centerville, TN 37033 | 2009-08-20 |
1225267578 | Charlotte Maricia Staggs | Counselor | 820 Highway 100, #3, Centerville, TN 37033 | 2009-07-08 |
1083742084 | Centerstone | Community/Behavioral Health | 704 Highway 100, Suite101, Centerville, TN 37033 | 2007-03-01 |
1972684074 | Christy Hulan Mays | Pharmacist | 401 West Public Square, Centerville, TN 37033 | 2006-10-17 |
1992718688 | Saint Thomas Hickman Hospital | Clinic/Center | 150 E Swan Street, Centerville, TN 37033 | 2006-08-14 |
1528090552 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 1797 Hwy 100 East, Centerville, TN 37033 | 2006-07-07 |
1326074402 | Centerville Medical Investors, LLC | Skilled Nursing Facility | 112 Old Dickson Road, Centerville, TN 37033 | 2006-06-23 |
Find all providers in zip 37033 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578914040 | Virtus Ohio Pharmacy, LLC | Pharmacy | 9352 Lebanon Pike Ste B, Centerville, OH 45458-3843 | 2016-06-27 |
1326145269 | Miami Valley Medical Supplies Inc. | Pharmacy | 9352 Dayton Lebanon Pike Ste B, Centerville, OH 45458-3843 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770199432 | Boones Creek Pharmacy, Inc. | Pharmacy | 4729 N Roan St Ste 2, Johnson City, TN 37615-3886 | 2020-09-18 |
1164032546 | Polaris Pharmacy Services of Tennessee, LLC | Pharmacy | 7005 Wesbelt Drive, Nashville, TN 32709 | 2020-07-31 |
1386261030 | Jeffrey Allan Anderson | Pharmacy | 721 N Tennessee Ave, Etowah, TN 37331-1754 | 2020-06-29 |
1376171652 | Boatwright Drug Co., Inc | Pharmacy | 7899 Leroy Boatwright St, Millington, TN 38053-2137 | 2020-03-31 |
1245868850 | Seymour Pharmacy Inc. | Pharmacy | 10721 Chapman Hwy Ste 6, Seymour, TN 37865-4771 | 2020-03-30 |
1700423654 | Southland Ltc Pharmacy | Pharmacy | 482 Interstate Dr Ste L, Manchester, TN 37355-3485 | 2019-12-10 |
1104380930 | Fannon Drug Co. | Pharmacy | 606 E. Emory Rd, Powell, TN 37849 | 2019-01-25 |
1538663281 | Black Bear Pharmacy, Inc. | Pharmacy | 110 Keith St Sw Ste 1and2, Cleveland, TN 37311-5868 | 2018-03-19 |
1891231734 | Rams Pharmacy LLC | Pharmacy | 1210 Hazelwood Dr Ste D, Smyrna, TN 37167-3964 | 2017-01-17 |
1982056529 | Pharmblue Tennessee LLC | Pharmacy | 1113 Murfreesboro Rd Ste 319-b, Franklin, TN 37064-1306 | 2016-07-07 |
Find all providers with the same taxonomy |
City | CENTERVILLE |
Zip Code | 37033 |
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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.