EDGE MEDICAL SERVICES (NPI# 1275083875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275083875 |
| Entity Type | Organization |
| Organization Name | EDGE MEDICAL SERVICES |
| Practice Address |
15 Shoally Branch Cir Leoma TN 38468-5078 |
| Mailing Address |
1141 N Loop 1604 E # 105187 San Antonio TX 78232-1339 |
| Practice Telephone | 8003484623 |
| Mailing Telephone | 8003484623 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | VICTORIA LEE (ADMIN) |
| Authorized Official Telephone | 8003484623 |
| Is Organization Subpart | Y |
| Parent Organization Name | EDGE MEDICAL SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477070555 | Edge Medical Services | Clinic/Center | 881 Terrace 49, Los Angeles, CA 90042-3149 | 2017-08-29 |
| 1851818934 | Edge Medical Services | Clinic/Center | 23548 Lyons Ave Ste B, Newhall, CA 91321-5782 | 2017-08-29 |
| 1609307529 | Edge Medical Services | Clinic/Center | 617 N 17th St Ste 200, Colorado Springs, CO 80904-3580 | 2017-03-22 |
| 1457891418 | Edge Medical Services | Clinic/Center | W4456 Highway 63, Springbrook, WI 54875-9421 | 2017-02-24 |
| 1063951176 | Edge Medical Services | Clinic/Center | 2406 Hughitt Ave, Superior, WI 54880-4944 | 2017-02-22 |
| 1477091783 | Edge Medical Services | Clinic/Center | 8720 Anglewood Ct, Colorado Springs, CO 80920-5347 | 2017-02-07 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1205372935 | Edge Medical Services | Clinic/Center | 8976 Jenkins Rd, Cotton, MN 55724-8017 | 2017-01-19 |
| 1407307994 | Edge Medical Services | Clinic/Center | 1845 Rd 604, Farmersville, TX 75442-6605 | 2016-10-19 |
| 1003367681 | Edge Medical Services | Clinic/Center | 545 S 670 E, Orem, UT 84097-6453 | 2016-10-19 |
| Street Address |
15 SHOALLY BRANCH CIR |
| City | LEOMA |
| State | TN |
| Zip Code | 38468-5078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447411541 | Stacie C Hunt | Midwife | 15 Shoally Branch Cir, Leoma, TN 38468-5078 | 2008-06-20 |
| 1063886422 | National Birth Centers Inc | Clinic/Center | 15 Shoally Branch Cir, Leoma, TN 38468-5078 | 2015-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306173315 | Cathy Lurlyne Porter | Community Health Worker | 1170 Prosser Rd, Leoma, TN 38468-5050 | 2009-11-11 |
| 1649701830 | Eddie Steelman | Nurse Practitioner | 139 Durham Rd, Leoma, TN 38468-5103 | 2017-03-21 |
| 1932675444 | Melissa H. Beard | Speech-Language Pathologist | 319 Cotton Ln, Leoma, TN 38468-5259 | 2018-10-23 |
| 1689120644 | Jena Daniel | Nurse Practitioner | 37 Day Rd, Leoma, TN 38468-5502 | 2016-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932675444 | Melissa H. Beard | Speech-Language Pathologist | 319 Cotton Ln, Leoma, TN 38468-5259 | 2018-10-23 |
| 1649701830 | Eddie Steelman | Nurse Practitioner | 139 Durham Rd, Leoma, TN 38468-5103 | 2017-03-21 |
| 1689120644 | Jena Daniel | Nurse Practitioner | 37 Day Rd, Leoma, TN 38468-5502 | 2016-08-30 |
| 1306173315 | Cathy Lurlyne Porter | Community Health Worker | 1170 Prosser Rd, Leoma, TN 38468-5050 | 2009-11-11 |
| Taxonomy Code | 261QB0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Birthing |
| A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman’s residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. |
| Notes: Source: Summarized from Social Security Act [42 U.S.C. §1396d(1)(3)(B)] [1/1/2013: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063886422 | National Birth Centers Inc | Clinic/Center | 15 Shoally Branch Cir, Leoma, TN 38468-5078 | 2015-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326566282 | Tanya Green Birth Services, LLC | Clinic/Center | 80 Oak Valley Drive, Spring Hill, TN 37174 | 2017-08-31 |
| 1952776361 | National Birth Center | Clinic/Center | 5797 Elkton Pike, Prospect, TN 38477-7503 | 2015-12-10 |
| 1508331125 | Private Healthcare Facilities | Clinic/Center | 80 Oak Valley Dr, Spring Hill, TN 37174-2596 | 2018-10-10 |
| 1821571308 | Private Healthcare Facilities | Clinic/Center | 5797 Elkton Pike, Prospect, TN 38477-7503 | 2018-09-11 |
| 1083194815 | Private Healthcare Facilities | Clinic/Center | 606 Belvoir Ave, Chattanooga, TN 37412-2602 | 2018-08-21 |
| 1447762505 | National Birth Centers Inc | Clinic/Center | 80 Oak Valley Dr, Spring Hill, TN 37174-2596 | 2017-10-30 |
| 1194263004 | Edge Medical Services | Clinic/Center | 606 Belvoir Ave, Chattanooga, TN 37412-2602 | 2017-02-11 |
| 1366992125 | Edge Medical Services | Clinic/Center | 5797 Elkton Pike, Prospect, TN 38477-7503 | 2016-10-05 |
| 1336698323 | National Birth Centers | Clinic/Center | 606 Belvoir Ave, Chattanooga, TN 37412-2602 | 2016-10-01 |
| 1437310174 | Infinity Birthing Center LLC | Clinic/Center | 1080 Neal St, Suite 301, Cookeville, TN 38501-0942 | 2008-06-24 |
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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.