MOBILE HEALTH VAN (NPI# 1326017591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326017591 |
| Entity Type | Organization |
| Organization Name | MOBILE HEALTH VAN |
| Practice Address |
435 2nd St Newport TN 37821-3703 |
| Practice Telephone | 4236252200 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRENDA ELLIS (PRIVACY OFFICER) |
| Authorized Official Telephone | 8655492121 |
| Authorized Official Credential | RHIT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Street Address |
435 2ND ST |
| City | NEWPORT |
| State | TN |
| Zip Code | 37821-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629073937 | Kristie Hawk Knight | Pharmacist | 435 2nd St, Newport, TN 37821-3703 | 2005-06-15 |
| 1265059133 | Cory Lewis Holt | Nurse Practitioner | 435 2nd St, Newport, TN 37821-3703 | 2020-06-26 |
| 1619517307 | Newport Interventional Pain Management | Clinic/Center | 435 2nd St, Newport, TN 37821-3703 | 2020-01-09 |
| 1215444500 | Cocke Physician Services, PC | Physician Assistant | 435 2nd St, Newport, TN 37821-3703 | 2018-01-08 |
| 1831606672 | Cocke Emergency Group, PC | Hospitalist | 435 2nd St, Newport, TN 37821 | 2018-01-02 |
| 1922525609 | Kathy B Carroll | Pharmacist | 435 2nd St, Newport, TN 37821-3703 | 2017-08-24 |
| 1750766127 | Regina Byrd | Nurse Practitioner | 435 2nd St, Newport, TN 37821-3703 | 2015-07-27 |
| 1184012098 | Amanda Brooke Hutson | Nurse Practitioner | 435 2nd St, Newport, TN 37821-3703 | 2014-12-30 |
| 1285034298 | Chance Linkous | Nurse Practitioner | 435 2nd St, Newport, TN 37821-3703 | 2014-08-27 |
| 1205250842 | Michael Frank | Registered Nurse | 435 2nd St, Newport, TN 37821-3703 | 2014-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649733593 | Deborah Diane Webb | Licensed Practical Nurse | 1203 Beechwood Road, Newport, TN 37821 | 2019-04-08 |
| 1972072353 | Meg Marie Collins | Counselor | 990 Hwy 25, Newport, TN 37821 | 2018-11-15 |
| 1184199515 | Newport Family Eyecare | Optometrist | 1002 W Highway 25/70, Newport, TN 37821 | 2018-10-12 |
| 1578807269 | Newport Eyecare Center Pllc | Optometrist | 115 Hedrick Drive, Newport, TN 37821 | 2012-11-19 |
| 1538292867 | James Loran Hodge | Optometrist | 1075 Cosby Highway, Newport, TN 37821 | 2007-03-14 |
| 1336271071 | Alice Louise Dalton | Case Manager/Care Coordinator | 215 Hedrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1700918521 | Kristi Renee Hansel | Case Manager/Care Coordinator | 215 Hendrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1255404497 | Jeremy E Sherrod | Pharmacist | 602 E Broadway, Newport, TN 37821 | 2006-11-16 |
| 1316016306 | Stephen Kent Priser | Pharmacist | 468 Eastern Plaza, Newport, TN 37821 | 2006-11-06 |
| 1881770006 | Steven Fuller Smith | Dentist | 305 Cosby Hwy, Newport, TN 37821 | 2006-10-31 |
| Find all providers in zip 37821 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316403405 | Crossroads Treatment Centers of Tennessee, PC | Clinic/Center | 2305 N Gateway Ave Unit 4, Harriman, TN 37748-8683 | 2019-02-14 |
| 1306277041 | Hospital Transitional Care | Clinic/Center | 140 Allenhurst Cir, Franklin, TN 37067-7271 | 2013-12-05 |
| 1255673380 | Downtown Medical Clinic Pllc | Clinic/Center | 113 Hopkins Avenue, Bells, TN 38006 | 2013-03-27 |
| 1164652962 | The Steets Corporation | Clinic/Center | 3566 N Highland Ave, Suite A, Jackson, TN 38305-7890 | 2009-07-15 |
| 1699213348 | County of Blount | Clinic/Center | 301 Mcghee St, Maryville, TN 37801-6811 | 2017-02-02 |
| 1578018909 | Salvus Center, Inc. | Clinic/Center | 556 Hartsville Pike, Suite 200, Gallatin, TN 37066-2491 | 2016-08-15 |
| 1285002634 | Tri State Community Health Center | Clinic/Center | 4041 Knight Arnold Rd, Suite 100, Memphis, TN 38118-2128 | 2015-09-02 |
| 1457758112 | Psychiatric Clinic of Green Hills | Clinic/Center | 2125 Belcourt Ave, Nashville, TN 37212-3503 | 2014-11-24 |
| 1295136349 | Resurrection Health | Clinic/Center | 4095 American Way, Memphis, TN 38118-8339 | 2014-09-09 |
| 1720499692 | Chota Community Health Services | Clinic/Center | 3030 Lee Hwy, Athens, TN 37303-5062 | 2014-05-14 |
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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.