CANNON COUNTY HOSPITAL, LLC (NPI# 1962569103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962569103 |
| Entity Type | Organization |
| Organization Name | CANNON COUNTY HOSPITAL, LLC |
| Other Organization Name | STONES RIVER HOSPITAL |
| Practice Address |
324 Doolittle Rd Woodbury TN 37190-1139 |
| Practice Telephone | 6155637200 |
| Practice Fax Number | 6155637314 |
| Mailing Telephone | 6155637200 |
| Mailing Fax Number | 6155637314 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2009-07-20 |
| Authorized Official Name | JAIME Y DAUGHERTY (CONTROLLER) |
| Authorized Official Telephone | 6155637201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 0000000009 | TN | Hospital Units |
| Other Name | Type Code |
|---|---|
| Stones River Hospital | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700983236 | Cannon County Hospital, LLC | General Acute Care Hospital | 520 W Main St, P.o. 640, Smithville, TN 37166-1138 | 2006-09-19 |
| 1528165057 | Cannon County Hospital, LLC | Medicare Defined Swing Bed Unit | 520 W Main St, Smithville, TN 37166-1138 | 2006-09-19 |
| Street Address |
324 DOOLITTLE RD |
| City | WOODBURY |
| State | TN |
| Zip Code | 37190-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114972007 | Cannon County Hospital LLC | General Acute Care Hospital | 324 Doolittle Rd, Woodbury, TN 37190-1139 | 2006-05-23 |
| 1982204806 | Susan Kay Zimpfer | Physical Therapist | 324 Doolittle Rd, Woodbury, TN 37190-1139 | 2020-10-29 |
| 1326411034 | Botanical Emergency Physicians, LLC | Physician Assistant | 324 Doolittle Rd, Woodbury, TN 37190-1139 | 2015-11-03 |
| 1255712766 | Saint Thomas Stones River Hospital, LLC | Medicare Defined Swing Bed Unit | 324 Doolittle Rd, Woodbury, TN 37190-1139 | 2015-06-11 |
| 1700267218 | Saint Thomas Stones River Hospital, LLC | Psychiatric Unit | 324 Doolittle Rd, Woodbury, TN 37190-1139 | 2015-06-11 |
| 1336520840 | Saint Thomas Stones River Hospital, LLC | Rehabilitation Unit | 324 Doolittle Rd, Woodbury, TN 37190-1139 | 2015-06-11 |
| 1447639398 | Saint Thomas Stones River Hospital, LLC | Psychiatric Unit | 324 Doolittle Rd, Woodbury, TN 37190-1139 | 2015-05-26 |
| 1124324637 | Doolittle Emergency Physicians LLC | Emergency Medicine | 324 Doolittle Rd, Woodbury, TN 37190-1139 | 2011-01-31 |
| 1801197421 | Top Flight Medical Group LLC | Specialist | 324 Doolittle Rd, Woodbury, TN 37190-1139 | 2010-11-12 |
| 1790936912 | Martha M Kendall | Speech-Language Pathologist | 324 Doolittle Rd, Stones River Hosp - Rehab Dept, Woodbury, TN 37190-1139 | 2008-10-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143891 | Results-ast Jv, LLC | Physical Therapist | 324 Doolittle Road, Woodbury, TN 37190 | 2020-10-26 |
| 1255407219 | Catherine Lorraine Levi | Physical Therapy Assistant | 119 West High Street, Woodbury, TN 37190 | 2006-11-28 |
| 1669807830 | Heather J Melton | Nurse Practitioner | 89 Mears Drive, Woodbury, TN 37190 | 2013-09-06 |
| 1437677796 | Woodbury Drug Center LLC | Pharmacy | 604 W Main St, Woodbury, TN 37190-1029 | 2017-09-06 |
| 1437148905 | Darryl T Deason | Dentist | 801b W Main St, Woodbury, TN 37190-1032 | 2005-10-18 |
| 1629067855 | Andrew P Bucher | Dentist | 801b W Main St, Woodbury, TN 37190-1032 | 2005-10-20 |
| 1003360793 | Woodbury Dental Partners | Dentist | 801 W Main St, Suite B, Woodbury, TN 37190-1047 | 2016-08-10 |
| 1407000417 | Darryl T Deason | Dentist | 801 W Main St, Suite B, Woodbury, TN 37190-1047 | 2008-11-05 |
| 1245375583 | Karen Anne Maloney | Registered Nurse | 301 W Main St Ste 200, Tn Dept of Health, Woodbury, TN 37190-1100 | 2007-02-21 |
| 1912364936 | Cannon County Board of Education | Physical Therapist | 301 W Main St, Woodbury, TN 37190-1100 | 2016-01-21 |
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| 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 |
|---|---|---|---|---|
| 1932747326 | Inspira Medical Centers, Inc. | Psychiatric Unit | 509 N Broad St, Woodbury, NJ 08096-1617 | 2019-12-16 |
| 1700267218 | Saint Thomas Stones River Hospital, LLC | Psychiatric Unit | 324 Doolittle Rd, Woodbury, TN 37190-1139 | 2015-06-11 |
| 1447639398 | Saint Thomas Stones River Hospital, LLC | Psychiatric Unit | 324 Doolittle Rd, Woodbury, TN 37190-1139 | 2015-05-26 |
| 1629055694 | Inspira Medical Center Woodbury, Inc. | Psychiatric Unit | 509 N Broad St, Woodbury, NJ 08096-1617 | 2005-12-29 |
| 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 |
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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.