PINELAKE REGIONAL HOSPITAL LLC (NPI# 1891892741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891892741 |
| Entity Type | Organization |
| Organization Name | PINELAKE REGIONAL HOSPITAL LLC |
| Other Organization Name | JACKSON PURCHASE MEDICAL CENTER |
| Practice Address |
1099 Medical Center Cir Mayfield KY 42066-1159 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 2702514100 |
| Practice Fax Number | 2702514507 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-05-31 |
| Authorized Official Name | ROBERT SCOTT RAPLEE (PRESIDENT) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 100143 | KY | Allopathic & Osteopathic Physicians |
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
100143 | KY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BCBS | 000000055031 | 01 |
| KY | BLACK LUNG | 360503 | 01 |
| KY | 01000116 | 05 | |
| KY | USEC DEPT. OF LABOR | 030016699 | 01 |
| KY | BCBS REFERENCE LAB | 000000061925 | 01 |
| Other Name | Type Code |
|---|---|
| Jackson Purchase Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437337904 | Pinelake Regional Hospital LLC | Clinical Medical Laboratory | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2008-02-06 |
| 1548471063 | Pinelake Regional Hospital LLC | Speech-Language Pathologist | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2007-05-25 |
| 1932295516 | Pinelake Regional Hospital LLC | Medicare Defined Swing Bed Unit | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2006-10-04 |
| Street Address |
1099 MEDICAL CENTER CIR |
| City | MAYFIELD |
| State | KY |
| Zip Code | 42066-1159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407824063 | Graves Emergency Group LLC | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2006-03-09 |
| 1124569553 | Amanda Massey | Nurse Anesthetist, Certified Registered | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2017-03-18 |
| 1417327008 | Mary Graham | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2015-09-25 |
| 1659777514 | Pinelake Regional Hospital, LLC | Psychiatric Unit | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2014-11-05 |
| 1255735346 | Tas of Kentucky LLC | Nurse Anesthetist, Certified Registered | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2014-10-17 |
| 1558603589 | Sandy Kay Riley | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2013-03-15 |
| 1023357928 | Sarah Darnell | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2013-02-12 |
| 1104115583 | Bryan Thomas Green | Physical Therapist | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2011-04-06 |
| 1457586638 | Carla Ann Davis | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2009-05-18 |
| 1447413174 | Nancy R. Mullins | Physical Therapist | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2008-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031959 | Snh Derby Tenant LLC | Assisted Living Facility | 1517 West Broadway Street, Mayfield, KY 42066 | 2019-09-10 |
| 1033674254 | Mind, Body, Soul, LLC | Clinic/Center | 1325 Us 45 S, Suite C, Mayfield, KY 42066 | 2019-02-01 |
| 1699288936 | Kimberly Kaye Gooch | Developmental Therapist | 3907 State Route 303, Mayfield, KY 42066 | 2017-11-08 |
| 1538604657 | Courtney L Coleman | Nurse Practitioner | 1029 Medical Center Cir Ste 200, Mayfield, KY 42066 | 2016-12-28 |
| 1659814721 | Bertha Workman | Voluntary or Charitable | 331 South 7th Street, Mayfield, KY 42066 | 2016-11-22 |
| 1699174052 | Laura Dassing | Counselor | 1325 Hwy 45 N, Mayfield, KY 42066 | 2014-08-21 |
| 1275947905 | Wkda Services LLC | Community/Behavioral Health | 1325 U S Hwy 45n, Mayfield, KY 42066 | 2014-06-20 |
| 1538594247 | Young Healthcare LLC | Chiropractor | 1011 Paris Road #341, Mayfield, KY 42066 | 2013-09-12 |
| 1811335649 | Donald Bennett Dowdy | Dentist | 236 N. 6th St., Mayfield, KY 42066 | 2013-06-14 |
| 1578822623 | Wanda Bingham Marshall | Counselor | 325 South 8th Street, West Kentucky Counseling Center, Mayfield, KY 42066 | 2012-05-10 |
| Find all providers in zip 42066 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
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| 1104443654 | Memorial Hospital Inc | General Acute Care Hospital | 53 Queendale Ctr Ste 200, Beverly, KY 40913-9608 | 2020-07-01 |
| 1619038247 | Lake Cumberland Regional Hospital LLC | General Acute Care Hospital | 305 Langdon Street, Somerset, KY 42502 | 2006-12-13 |
| 1316939689 | Clinton County Hospital, Inc. | General Acute Care Hospital | 723 Burkesville Rd, Albany, KY 42602-1654 | 2005-08-22 |
| 1992701429 | Saint Joseph Health System Inc | General Acute Care Hospital | 1001 Saint Joseph Ln, London, KY 40741-8345 | 2005-06-21 |
| 1013379528 | The Medical Center At Clinton County, Inc. | General Acute Care Hospital | 723 Burkesville Rd, Albany, KY 42602-1654 | 2016-03-23 |
| 1487976163 | H. Eduardo Pavon M.d. | General Acute Care Hospital | 298 Main St, Suite 2, Cadiz, KY 42211-9155 | 2010-02-22 |
| 1699941427 | St Claire Regional Medical Center | General Acute Care Hospital | 445 Clinic Dr, Morehead, KY 40351-1077 | 2008-05-01 |
| 1558585091 | Ccmh Corporation | General Acute Care Hospital | 309 11th St, Carrollton, KY 41008-1435 | 2007-04-13 |
| 1063549814 | Murray Calloway County Public Hospital Corporation | General Acute Care Hospital | 803 Poplar St, Murray, KY 42071-2432 | 2007-02-28 |
| 1780746420 | Spring View Hospital LLC | General Acute Care Hospital | 320 Loretto Rd, Lebanon, KY 40033-1300 | 2006-12-15 |
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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.