CLARKSVILLE LIMB & BRACE & REHAB., INC. (NPI# 1275538860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275538860 |
Entity Type | Organization |
Organization Name | CLARKSVILLE LIMB & BRACE & REHAB., INC. |
Other Organization Name | BOWLING GREEN ORTHOTICS & PROSTHETICS |
Practice Address |
165 Natchez Trace Ste. 202 Bowling Green KY 42103 |
Mailing Address |
1816 Memorial Cir Clarksville TN 37043-4539 |
Practice Telephone | 2707800073 |
Practice Fax Number | 2707829962 |
Mailing Telephone | 9316482155 |
Mailing Fax Number | 9316474952 |
Enumeration Date | 2005-06-20 |
Last Update Date | 2008-08-07 |
Authorized Official Name | MS. JUDY LYNN FARRIS (OFFICE MANAGER) |
Authorized Official Telephone | 9316482155 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ANTHEM | 000000190035 | 01 | |
KY | 90262569 | 05 |
Other Name | Type Code |
---|---|
Bowling Green Orthotics & Prosthetics | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215932801 | Clarksville Limb & Brace & Rehab., Inc. | Specialist | 230 S Franklin St, Russellville, KY 42276-1937 | 2005-06-20 |
1700881307 | Clarksville Limb & Brace & Rehab., Inc. | Specialist | 4288 N Jackson Hwy, Glasgow, KY 42141-9020 | 2005-06-20 |
1932104510 | Clarksville Limb & Brace & Rehab., Inc. | Specialist | 980 Professional Park Dr, Suite B, Clarksville, TN 37040-4539 | 2005-06-20 |
Street Address |
165 NATCHEZ TRACE STE. 202 |
City | BOWLING GREEN |
State | KY |
Zip Code | 42103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811990906 | Lynn D Olson | Orthopaedic Surgery | 165 Natchez Trace, Suite 100, Bowling Green, KY 42103-7947 | 2005-05-23 |
1760837868 | Orthobgllc | Orthopaedic Surgery | 165 Natchez Trace, Suite 100, Bowling Green, KY 42103 | 2016-04-27 |
1700113321 | Marina Moore | Physical Therapist | 165 Natchez Trace, Bowling Green, KY 42103-7940 | 2009-11-04 |
1396960233 | Western Kentucky Orthopaedic & Neurosurgical Associates Pllc | Neurological Surgery | 165 Natchez Trace, Suite 100, Bowling Green, KY 42103 | 2007-04-16 |
1396723755 | Bryan Keith Hawley | Chiropractor | 165 Natchez Trace, Suite 201, Bowling Green, KY 42103-7947 | 2006-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
Find all providers in zip 42103 |
Taxonomy Code | 1744P3200X |
Grouping | Other Service Providers |
Classification | Specialist |
Specialization | Prosthetics Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124678701 | Tywahneikai Lashae Bailey | Specialist | 673 Knox Blvd Ste C, Radcliff, KY 40160-1568 | 2019-09-16 |
1679057822 | Melanie Higgins- Day | Specialist | 121 Malabu Dr Ste 4, Lexington, KY 40503-3143 | 2018-09-23 |
1528552528 | Nachell Tashae Beeler | Specialist | 126 N 42nd St, Louisville, KY 40212-2606 | 2018-06-21 |
1982101549 | Soyini Edwards | Specialist | 2780d New Holt Rd Ste 370, Paducah, KY 42001-7436 | 2018-04-10 |
1669974168 | Danielle Mack | Specialist | 4611 Peachtree Ave, Louisville, KY 40215-2442 | 2018-03-01 |
1568880037 | All About Your Hair LLC | Specialist | 7828 Westbrook Rd, Louisville, KY 40258 | 2014-04-02 |
1720404593 | Kahndra Chauntay Franklin | Specialist | 952 Winchester Rd, Suite 120, Lexington, KY 40505 | 2014-03-17 |
1821313255 | Pamela Lee | Specialist | 752 Runaway Dr, Fountain Run, KY 42133-8539 | 2010-03-29 |
1073846127 | Sherman G Dudley | Specialist | 119 Nancy Cox Dr, Suite 2, Campbellsville, KY 42718-6832 | 2009-09-08 |
1376790998 | Mary Justine Parrott-allen | Specialist | 115 Central Plaza Shopping Center, Campbellsville, KY 42718-1595 | 2008-08-26 |
Find all providers with the same taxonomy |
City | BOWLING GREEN |
Zip Code | 42103 |
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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.