ANDERSON COUNTY HEALTH DEPARTMENT (NPI# 1205018587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205018587 |
Entity Type | Organization |
Organization Name | ANDERSON COUNTY HEALTH DEPARTMENT |
Other Organization Name | TENNESSEE DEPARTMENT OF HEALTH |
Practice Address |
710 N Main St Suite D Clinton TN 37716-3143 |
Practice Telephone | 8654258800 |
Enumeration Date | 2007-11-29 |
Last Update Date | 2007-11-29 |
Authorized Official Name | ART MILLER (COUNTY DIRECTOR) |
Authorized Official Telephone | 8654258801 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | LPN0000070124 | TN | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Tennessee Department of Health | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386812741 | Anderson County Health Department | Public Health or Welfare | 1150 Bypass N, Lawrenceburg, KY 40342-9453 | 2008-02-19 |
1851569214 | Anderson County Health Department | Public Health or Welfare | 210 Saffell St, Lawrenceburg, KY 40342-1287 | 2008-02-19 |
1770751125 | Anderson County Health Department | Public Health or Welfare | 1411 Fox Creek Rd, Lawrenceburg, KY 40342-9742 | 2008-02-19 |
1487822847 | Anderson County Health Department | Public Health or Welfare | 126 N Main St, Lawrenceburg, KY 40342-1195 | 2008-02-19 |
Street Address |
710 N MAIN ST SUITE D |
City | CLINTON |
State | TN |
Zip Code | 37716-3143 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033719596 | Mallory O'brien | Registered Nurse | 710 N Main St, Clinton, TN 37716-3143 | 2020-10-26 |
1114535036 | Wesley Whisenant | Dentist | 710 N Main St, Clinton, TN 37716-3143 | 2020-07-16 |
1831732916 | Sarah Hogan | Nurse's Aide | 710 N Main St, Clinton, TN 37716-3143 | 2019-10-22 |
1083267835 | Viginia Lynn Canfield | Nurse's Aide | 710 N Main St, Clinton, TN 37716-3143 | 2019-07-22 |
1033694021 | Sierra Cheyenne Mccullah | Registered Nurse | 710 N Main St, Clinton, TN 37716-3143 | 2018-09-26 |
1114409307 | Stephanie Seeber | Licensed Practical Nurse | 710 N Main St, Clinton, TN 37716-3143 | 2018-09-04 |
1275029217 | Katrina Michelle Bailey | Nurse's Aide | 710 N Main St, Clinton, TN 37716-3143 | 2018-07-02 |
1720582174 | Tracey Jean Smith | Technician, Pathology | 710 N Main St, Clinton, TN 37716-3143 | 2018-03-21 |
1861995169 | Lisa Marie Lay | Nurse's Aide | 710 N Main St, Clinton, TN 37716-3143 | 2018-03-13 |
1427586619 | Mary Lauren Sharp | Dentist | 710 N Main St, Clinton, TN 37716-3143 | 2017-06-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730650870 | Kellye Watkins Wilson | Dental Hygienist | 420 S. Charles Seivers Blvd, Clinton, TN 37716 | 2018-12-16 |
1326428087 | Sandra Ella Humphrey Mincey | Registered Nurse | Mcneeley Family Physicians, 110 Executive Park Drive, Clinton, TN 37716 | 2015-06-08 |
1598157224 | Susan Price Teffeteller | Nurse Practitioner | 159 Frank L Diggs Road, Clinton, TN 37716 | 2015-03-04 |
1710268065 | Jimmy Neil Mcbride | Pharmacist | 1130 North Charles G. Seivers Boulevard, Clinton Drug Store, Clinton, TN 37716 | 2011-08-31 |
1265684658 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 507 South Charles Sevier Boulevard, Clinton, TN 37716 | 2008-10-16 |
1912186016 | Comprehensive Industrial Services Inc | Physical Therapist | 1107 Charles Seivers Blvd, Suite 2, Clinton, TN 37716 | 2007-10-25 |
1205039120 | Pamela H. Gross, Ph.d, P.C. | Psychologist | 1729 Dutch Valley Road, Clinton, TN 37716 | 2007-06-07 |
1396872057 | Health Care Inc | Pharmacy | 1130 N Charles Seivers Blvd, Clinton, TN 37716 | 2007-02-28 |
1346389889 | Kellie Gaetz | Physical Therapist | 1115 Charles Seivers Blvd, Suite 22, Clinton, TN 37716 | 2007-02-05 |
1396883955 | Phoenix Counseling Services, Inc. | Counselor | 729 Charles Seivers, Clinton, TN 37716 | 2007-02-02 |
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Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053662437 | Skill Creations of Clinton | Nursing Facility/Intermediate Care Facility | 223 Forest Trail, Clinton, NC 28328-3353 | 2012-09-26 |
1861522336 | Mercy Medical Center-clinton, Inc. | Nursing Facility/Intermediate Care Facility | 600 14th Ave N, Clinton, IA 52732-2914 | 2007-03-06 |
1346378387 | Care Center of Clinton | Nursing Facility/Intermediate Care Facility | 1251 Pinehaven Rd, Clinton, MS 39056-3455 | 2007-03-01 |
1063409464 | Eagle Point Nursing and Rehab Center | Nursing Facility/Intermediate Care Facility | 801 28th Ave N, Clinton, IA 52732-1955 | 2005-09-30 |
1861488751 | Grace Nursing Home Inc | Nursing Facility/Intermediate Care Facility | 9725 Grace Ln, Clinton, LA 70722-4925 | 2005-09-26 |
1134259674 | Mercy Medical Center-clinton, Inc. | Nursing Facility/Intermediate Care Facility | 638 S Bluff Blvd, Clinton, IA 52732-4742 | 2007-03-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922493592 | Oaktree Health and Rehabilitation Center, LLC | Nursing Facility/Intermediate Care Facility | 6500 Kirby Gate Cv, Memphis, TN 38119-8203 | 2015-04-01 |
1265779086 | White House Health Care, Inc. | Nursing Facility/Intermediate Care Facility | 2871 Highway 31 W, White House, TN 37188-5226 | 2013-01-14 |
1912289208 | Sonja Teresa Dishman | Nursing Facility/Intermediate Care Facility | 521 Potter Rd, Jamestown, TN 38556-4120 | 2011-09-13 |
1427350123 | At Home Health Services, LLC | Nursing Facility/Intermediate Care Facility | 22 Monument Rd, Suite 100, Summertown, TN 38483-7644 | 2010-12-01 |
1811218324 | Christian Care Center of Rutherford County LLC | Nursing Facility/Intermediate Care Facility | 202 Enon Springs Road East, Smyrna, TN 37167 | 2010-06-18 |
1619296936 | Dr Casey Kim Pllc | Nursing Facility/Intermediate Care Facility | 7902 Eagle Mere Rd, Chattanooga, TN 37421-7315 | 2010-05-26 |
1053556274 | Johnson City Health Property Investors, LLC | Nursing Facility/Intermediate Care Facility | 400 N Boone St, Johnson City, TN 37604-5635 | 2008-12-03 |
1598912537 | Agape Health and Rehabilitation Center, LLC | Nursing Facility/Intermediate Care Facility | 2020 Northpark, Suite 2f, Johnson City, TN 37604-3127 | 2008-08-21 |
1063614113 | Trina Wright | Nursing Facility/Intermediate Care Facility | 265 Margaret Cir, Mc Minnville, TN 37110-6815 | 2007-06-01 |
1841311404 | Ssc Newport Operating Company LLC | Nursing Facility/Intermediate Care Facility | 135 Generation Dr, Newport, TN 37821-8018 | 2007-04-02 |
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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.