DYERSBURG CLINIC CORP (NPI# 1063820553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063820553 |
Entity Type | Organization |
Organization Name | DYERSBURG CLINIC CORP |
Other Organization Name | HAYWOOD PARK URGENT CARE |
Practice Address |
2545 N Washington Ave Brownsville TN 38012-1610 |
Practice Telephone | 7317729042 |
Practice Fax Number | 7317723937 |
Mailing Telephone | 7317729042 |
Mailing Fax Number | 7317723937 |
Enumeration Date | 2014-07-28 |
Last Update Date | 2014-07-28 |
Authorized Official Name | JAMES PATRICK WRIGHT (DIRECTOR) |
Authorized Official Telephone | 6154657587 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3718531 | 05 |
Other Name | Type Code |
---|---|
Haywood Park Urgent Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093710568 | Dyersburg Clinic Corp | Urology | 400 E Tickle St, Dyersburg, TN 38024-3120 | 2005-06-20 |
1285952044 | Dyersburg Clinic Corp | Clinic/Center | 310 E Main St, Hayti, MO 63851-1639 | 2010-05-04 |
Street Address |
2545 N WASHINGTON AVE |
City | BROWNSVILLE |
State | TN |
Zip Code | 38012-1610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053382960 | Brownsville Hospital Corporation | General Acute Care Hospital | 2545 N Washington Ave, Brownsville, TN 38012-1610 | 2006-01-30 |
1669594461 | Veronica Britt Ashlock | Physical Therapist | 2545 N Washington Ave, Brownsville, TN 38012-1610 | 2007-04-04 |
1063480416 | Amanda Glidewell Neal | Nurse Practitioner | 2545 N Washington Ave, Brownsville, TN 38012-1610 | 2006-03-10 |
1316918121 | Brownsville Hospital Corporation | Medicare Defined Swing Bed Unit | 2545 N Washington Ave, Brownsville, TN 38012-1610 | 2006-01-30 |
1598736563 | Brownsville Clinic Corp | Family Medicine | 2545 N Washington Ave, Brownsville, TN 38012-1610 | 2006-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598309213 | Henrietta Butler-shaw | Technician | 43 Autumn Dr., Brownsville, TN 38012 | 2019-11-06 |
1083711535 | Jaime Montoya Chavez | Legal Medicine | Box 291, Brownsville, TN 38012 | 2006-09-19 |
1083628432 | Bernasue Valerie Mcelrath | Chiropractor | 37 S Wilson Ave, Brownsville, TN 38012 | 2006-07-28 |
1427094655 | Gary Dean Pettigrew | Pharmacist | 2288 N Washington Ave, Quality Drug Company, Brownsville, TN 38012 | 2006-06-22 |
1184674590 | Jason Lowell Smothers | Optometrist | 1100 S Dupree Ave, Brownsville, TN 38012 | 2006-05-10 |
1972568749 | Crestview Health Care and Rehabilitation Inc | Nursing Facility/Intermediate Care Facility | 704 Dupree Rd, Brownsville, TN 38012 | 2006-04-17 |
1003302951 | Faith Family Medical Clinic, LLC | Nurse Practitioner | 511 E Main St, Brownsville, TN 38012 | 2018-07-03 |
1780073213 | Robert Franklin Callery | Registered Nurse | 511 E Main St, Brownsville, TN 38012 | 2015-01-21 |
1184055345 | Ray Wakefield | Nurse Practitioner | 2290 N Washington Ave, Brownsville, TN 38012 | 2013-12-12 |
1821148073 | State of Tennessee | Public Health or Welfare | 950 East Main Street, Brownsville, TN 38012 | 2007-01-11 |
Find all providers in zip 38012 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013579291 | Jose G. Sosa Fnp PC | Clinic/Center | 451 E Alton Gloor Blvd Ste 3, Brownsville, TX 78526-3393 | 2019-07-08 |
1558790527 | Nuch of Texas | Clinic/Center | 275 E Morrison Rd, B-1, Brownsville, TX 78526-3373 | 2013-11-11 |
1558797225 | Boys & Girls Urgent Care P. A. | Clinic/Center | 5005 Ibc Circle, Brownsville, TX 78526 | 2013-09-25 |
1831323740 | Haywood After-hours Clinic | Clinic/Center | 2555 N Washington Ave Ste 3, Brownsville, TN 38012-1610 | 2009-05-06 |
1518404631 | Valley Med Urgent Care Pllc | Clinic/Center | 2534 Boca Chica Blvd, Brownsville, TX 78521-2310 | 2017-01-26 |
1063805406 | Kazim Medical Associates Pllc | Clinic/Center | 2686 W Alton Gloor Blvd, Brownsville, TX 78520-4054 | 2015-03-10 |
1750317228 | Jk Sun Valley Healthcare Associates Pa | Clinic/Center | 2686 W Alton Gloor Blvd, Suite 1, Brownsville, TX 78520 | 2006-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134749906 | Three Rivers Medical | Clinic/Center | 2725 E Governor John Sevier Hwy, Knoxville, TN 37914-6620 | 2020-04-22 |
1487273702 | Sanitas Medical Center of Tennessee PC | Clinic/Center | 1632 Memorial Blvd Ste 1646, Murfreesboro, TN 37129-2104 | 2020-04-16 |
1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
1194380568 | Advanced Urgent Care Pllc | Clinic/Center | 455 N Chancery St Ste A, Mcminnville, TN 37110-2049 | 2019-05-01 |
1295208874 | Lwc Sevice Providers LLP | Clinic/Center | 111 Ellison Rd Ste 2, La Follette, TN 37766-3025 | 2019-01-07 |
1639655368 | Bunker Hill Staffing Urgent Care LLC | Clinic/Center | 1300 Bunker Hill Rd Ste B, Cookeville, TN 38506 | 2018-07-16 |
1386159523 | Wellmont Medical Associates, Inc. | Clinic/Center | 1021 Coolidge St Ste 4, Greeneville, TN 37743-5986 | 2017-12-11 |
1245754043 | Green River Medical Clinic, LLC | Clinic/Center | 315 Robert Rose Dr Ste F, Murfreesboro, TN 37129-6361 | 2017-08-02 |
1235669680 | Uhs Ventures | Clinic/Center | 1130 Middle Creek Rd Ste 290, Sevierville, TN 37862-3051 | 2017-06-19 |
1477087658 | Urgent Care Enterprise LLC | Clinic/Center | 5304 Cane Ridge Rd, Antioch, TN 37013-3839 | 2017-04-14 |
Find all providers with the same taxonomy |
City | BROWNSVILLE |
Zip Code | 38012 |
Please comment or provide details below to improve the information on DYERSBURG CLINIC CORP.
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.