HICKMAN COMMUNITY HEALTH CARESERVICES (NPI# 1225049570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225049570 |
| Entity Type | Organization |
| Organization Name | HICKMAN COMMUNITY HEALTH CARESERVICES |
| Other Organization Name | HICKMAN MEDICAL CENTER |
| Practice Address |
5047 Highway 100 Lyles TN 37098-1878 |
| Practice Telephone | 9316706525 |
| Practice Fax Number | 9316706527 |
| Mailing Telephone | 9316706525 |
| Mailing Fax Number | 9316706527 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2011-08-09 |
| Authorized Official Name | MRS. DONNA L MATHIS (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 9317296779 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0443436 | 05 | |
| TN | BCBS | 4057061 | 01 |
| Other Name | Type Code |
|---|---|
| Hickman Medical Center | Doing Business As Name - Organization |
| Street Address |
5047 HIGHWAY 100 |
| City | LYLES |
| State | TN |
| Zip Code | 37098-1878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902224827 | Sole Supports, Inc. | Durable Medical Equipment & Medical Supplies | 7674 Highway 7, Lyles, TN 37098-1571 | 2014-03-29 |
| 1194717645 | Martha Jane Shepard | Pharmacist | 7723 Clearview Church Ln, Lyles, TN 37098-1609 | 2005-08-19 |
| 1659567527 | Perry County Medical Center, Inc. | Clinic/Center | 7723 Clearview Church Ln, Lyles, TN 37098-1609 | 2007-09-24 |
| 1205828662 | Community Pharmacy Care, Inc. | Pharmacist | 7723 Clearview Church Ln, Lyles, TN 37098-1609 | 2005-08-21 |
| 1710535703 | Perry County Medical Center, Inc. | Dentist | 7723 Clearview Church Ln Ste 200, Lyles, TN 37098-1674 | 2019-09-03 |
| 1831676840 | Amanda Tidwell | Nurse Practitioner | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2018-07-23 |
| 1184968455 | Kjk LLC | Pharmacy | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2012-11-26 |
| 1952653057 | Joseph B Sweat | Nurse Practitioner | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2012-10-12 |
| 1265707533 | Sherry Lynn Tidwell | Registered Nurse | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2012-03-20 |
| 1881977684 | Mark Allen Graves | Nurse Practitioner | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2011-09-28 |
| Find all providers in zip 37098 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275317 | Henry County Medical Center | Clinic/Center | 300 Hospital Cir Ste 204, Paris, TN 38242-4597 | 2020-08-14 |
| 1447861562 | Henry County Medical Center | Clinic/Center | 14201 Highway 79 N Unit 4, Buchanan, TN 38222-4183 | 2020-08-12 |
| 1003425224 | Dickson Medical Associate, PC | Clinic/Center | 127 Crestview Park Dr Ste 205, Dickson, TN 37055-2856 | 2020-07-23 |
| 1023631454 | Spring City Family Clinic Pllc | Clinic/Center | 126 Lavender St Ste 2, Spring City, TN 37381-5102 | 2020-05-20 |
| 1871001271 | Shelbyville Hospital Company LLC | Clinic/Center | 1330 Cedar Ln Ste 100, Tullahoma, TN 37388-2284 | 2018-01-19 |
| 1720596125 | Shelbyville Hospital Company LLC | Clinic/Center | 1440 Cedar Ln Unit 100, Tullahoma, TN 37388-2262 | 2018-01-19 |
| 1548788458 | Shelbyville Hospital Company LLC | Clinic/Center | 1612 N Main St Ste A, Shelbyville, TN 37160-2392 | 2017-08-31 |
| 1063938520 | Mid-south Convenient Care, Pllc | Clinic/Center | 1445 Us Highway 51 Byp E Ste B, Dyersburg, TN 38024-2127 | 2017-08-16 |
| 1871034462 | Martin Health | Clinic/Center | 143 Kennedy Drive, Martin, TN 38237-3309 | 2017-03-15 |
| 1881135895 | Humboldt Family Walk-in Clinic LLC | Clinic/Center | 1600 Coleman Dr, Humboldt, TN 38343-1756 | 2017-03-10 |
| Find all providers with the same taxonomy | ||||
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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.