MATTHEW WALKER COMPREHENSIVE HEALTH CENTER, INC (NPI# 1104008747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104008747 |
| Entity Type | Organization |
| Organization Name | MATTHEW WALKER COMPREHENSIVE HEALTH CENTER, INC |
| Practice Address |
230 Dover Rd Clarksville TN 37042-4183 |
| Mailing Address |
1035 14th Ave N Nashville TN 37208-3050 |
| Practice Telephone | 9319205000 |
| Practice Fax Number | 6153206033 |
| Mailing Telephone | 6153279400 |
| Mailing Fax Number | 6153272806 |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2019-09-05 |
| Authorized Official Name | MRS. KATINA BEARD (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6153401265 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255658480 | Matthew Walker Comprehensive Health Center, Inc | Clinic/Center | 1700 17th Avenue North, Fisk Unvieristy Shane Hall, Nashville, TN 37208 | 2010-04-28 |
| 1174839781 | Matthew Walker Comprehensive Health Center, Inc | Clinic/Center | 739 President Pl, Suite 100, Smyrna, TN 37167-6844 | 2010-08-20 |
| 1356405278 | Matthew Walker Comprehensive Health Center, Inc | Clinic/Center | 1035 14th Ave N, Nashville, TN 37208 | 2006-12-22 |
| Street Address |
230 DOVER RD |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37042-4183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982194007 | Zoe F Lowery | Nurse Practitioner | 230 Dover Rd, Clarksville, TN 37042-4183 | 2018-05-14 |
| 1407393408 | Lindsey Carlson | Nurse Practitioner | 230 Dover Rd, Clarksville, TN 37042-4183 | 2017-01-27 |
| 1255764155 | Tiffany D Yoder | Nurse Practitioner | 230 Dover Rd, Clarksville, TN 37042-4183 | 2013-08-14 |
| 1992068621 | Kristy Jo Stanislav | Dentist | 230 Dover Rd, Clarksville, TN 37042-4183 | 2012-06-18 |
| 1366767550 | Shondell Vanessa Hickson | Nurse Practitioner | 230 Dover Rd, Clarksville, TN 37042-4183 | 2010-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275186603 | Elizabeth Louise Eckart | Physical Therapist | 305 Rue Le Mans Dr., Clarksville, TN 37042 | 2019-07-24 |
| 1740844802 | Lana Sperry | Speech-Language Pathologist | 1255 Northfield Drive, Clarksville, TN 37042 | 2019-04-24 |
| 1497263941 | Cumberland Surgical Arts and Associates, Pllc | Oral & Maxillofacial Surgery | 1275 Parkway Place, Clarksville, TN 37042 | 2018-01-18 |
| 1336590058 | Bobby Bonner Jr. | Case Manager/Care Coordinator | 1697putnum Drive, Clarksville, TN 37042 | 2016-06-23 |
| 1184078040 | Sheena Williams | Counselor | 901 Martin St., Clarksville, TN 37042 | 2016-04-18 |
| 1568847069 | Sara Hyun Seung Oh | Dentist | 1692 Fort Campbell Blvd, Clarksville, TN 37042 | 2015-07-25 |
| 1346621323 | Rocky Mountain Holdings, LLC | Ambulance | 248 Outlaw Field Rd, Clarksville, TN 37042 | 2015-06-15 |
| 1528448974 | Tennessee State Veterans Home Board | Skilled Nursing Facility | 250 Arrowood Drive, Clarksville, TN 37042 | 2015-06-01 |
| 1851709331 | Brent Michael Hazlewood | Dentist | 466 Tiny Town Rd, Ste A, Clarksville, TN 37042 | 2014-07-28 |
| 1619304318 | Regina G Goldwire | Nurse Practitioner | 351 Dover Road, North Clarksville Medical Center, Clarksville, TN 37042 | 2013-09-26 |
| Find all providers in zip 37042 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194969238 | Peoples Community Health Clinic, Inc | Clinic/Center | 118 S Main St, Clarksville, IA 50619-2008 | 2009-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525809 | Christ Community Health Services, Inc | Clinic/Center | 4350 Chuck Ave, Memphis, TN 38118-4076 | 2020-07-08 |
| 1730707621 | Christ Community Health Services, Inc. | Clinic/Center | 3206 Poplar Ave, Memphis, TN 38111-3502 | 2020-07-08 |
| 1003442112 | Christ Commuity Health Services Inc | Clinic/Center | 3360 S 3rd St, Memphis, TN 38109-2944 | 2020-03-20 |
| 1689160939 | Maury Regional Hospital | Clinic/Center | 98 Experiment Station Lane, Columbia, TN 38401-4700 | 2018-07-10 |
| 1194245399 | United Neighborhood Health Services, Inc. | Clinic/Center | 442 Metroplex Dr Ste 200, Nashville, TN 37211-3112 | 2017-06-20 |
| 1659745354 | Memphis Health Center, Inc. | Clinic/Center | 4250 Faronia Rd Ste 2a, Memphis, TN 38116-6527 | 2015-11-18 |
| 1639546187 | United Neighborhood Health Services, Inc. | Clinic/Center | 3904 Gallatin Pike, Nashville, TN 37216 | 2015-08-31 |
| 1790170389 | Maury Regional Hospital | Clinic/Center | 854 W James M Campbell Blvd Ste 301, Columbia, TN 38401-4659 | 2015-04-01 |
| 1285999128 | United Neighborhood Health Services, Inc | Clinic/Center | 401 Walton Ln, Nashville, TN 37216-1018 | 2012-07-06 |
| 1891058848 | United Neighborhood Health Services, Inc | Clinic/Center | 1900 Hobson Pike, Antioch, TN 37013-2421 | 2012-06-23 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37042 |
Please comment or provide details below to improve the information on MATTHEW WALKER COMPREHENSIVE HEALTH CENTER, INC.
| 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.