HARDEMAN COUNTY COMMUNITY HEALTH CENTER (NPI# 1366637969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366637969 |
| Entity Type | Organization |
| Organization Name | HARDEMAN COUNTY COMMUNITY HEALTH CENTER |
| Other Organization Name | HENDERSON HEALTH CENTER |
| Practice Address |
1132 Industrial Dr Henderson TN 38340-1310 |
| Mailing Address |
Po Box 720 Bolivar TN 38008-0720 |
| Practice Telephone | 7319833175 |
| Practice Fax Number | 7319833356 |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | LINDA LOVELACE (COO/CFO) |
| Authorized Official Telephone | 7316593125 |
| Is Organization Subpart | Y |
| Parent Organization Name | HARDEMAN COUNTY COMMUNITY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0441916 | 05 |
| Other Name | Type Code |
|---|---|
| Henderson Health Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659875227 | Hardeman County Community Health Center | Clinic/Center | 445 Nuckolls Rd, Bolivar, TN 38008-1539 | 2018-03-20 |
| 1356531610 | Hardeman County Community Health Center | Clinic/Center | 17 1st St E, Stanton, TN 38069-4426 | 2007-08-01 |
| 1558721233 | Hardeman County Community Health Center | Pharmacist | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2016-02-24 |
| 1861468340 | Hardeman County Community Health Center | Clinic/Center | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2006-02-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HARDEMAN COUNTY COMMUNITY HEALTH CENTER | 629 Nuckolls Rd, Bolivar, TN 38008-1599 |
| Street Address |
1132 INDUSTRIAL DR |
| City | HENDERSON |
| State | TN |
| Zip Code | 38340-1310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629380639 | Candice Johnson Jones | Family Medicine | 1132 Industrial Dr, Henderson, TN 38340-1310 | 2010-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407487390 | Cornerstone Pharmacy, LLC | Pharmacy | 1330 Us Hwy 45 N Ste D, Henderson, TN 38340 | 2020-01-29 |
| 1184774358 | State of Tennessee | Public Health or Welfare | 301 Quinco Drive, Henderson, TN 38340 | 2007-01-11 |
| 1952381089 | Ronald Allen Hoffmeyer | Physician Assistant | 1132 Industrial Drive, Henderson Health Center, Henderson, TN 38340 | 2006-01-17 |
| 1487636031 | Ronald E Johnson | Dentist | 136 South Washington Ave, Henderson, TN 38340-0096 | 2005-11-18 |
| 1174835664 | Southwest Human Resource Agency | Local Education Agency (LEA) | 1527 White Avenue, Henderson, TN 38340-0264 | 2010-07-13 |
| 1578510269 | Henderson Residential, LLC | Assisted Living Facility | 558 White Ave, Henderson, TN 38340-1504 | 2006-05-28 |
| 1457591117 | Melaro Behavioral Consultants Inc | Clinic/Center | 225 W Sixth St, Henderson, TN 38340-1515 | 2009-02-20 |
| 1386797314 | David Allen Magee | Dentist | 1520 Cherry Creek Cv, Henderson, TN 38340-1578 | 2007-01-21 |
| 1982878146 | David A. Magee | Dentist | 1520 Cherry Creek Cv, Henderson, TN 38340-1578 | 2008-04-18 |
| 1073798575 | Sejal Ghodadra | Dentist | 1520 Cherry Creek Cv, Henderson, TN 38340-1578 | 2008-01-02 |
| Find all providers in zip 38340 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033630710 | Searchlight Healthcare Charities | Clinic/Center | 98 E Lake Mead Pkwy Ste 305, Henderson, NV 89015-6444 | 2017-07-03 |
| 1649412354 | Mt. Enterprise Community Health Clinic | Clinic/Center | 1115 Highway 259 South, Henderson, TX 75654 | 2009-03-26 |
| 1811496607 | Nevada Health Centers Inc | Clinic/Center | 400 Palo Verde Dr, Henderson, NV 89015-6028 | 2018-02-07 |
| 1063891182 | Nevada Health Centers Inc | Clinic/Center | 98 E Lake Mead Pkwy, Suite 103, Henderson, NV 89015-5540 | 2015-05-21 |
| 1124269022 | Rural Health Group, Inc. | Clinic/Center | 100 W Parkview Dr, Henderson, NC 27536-5923 | 2009-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525809 | Christ Community Health Services, Inc | Clinic/Center | 4350 Chuck Ave, Memphis, TN 38118-4076 | 2020-07-08 |
| 1730707621 | Christ Community Health Services, Inc. | Clinic/Center | 3206 Poplar Ave, Memphis, TN 38111-3502 | 2020-07-08 |
| 1003442112 | Christ Commuity Health Services Inc | Clinic/Center | 3360 S 3rd St, Memphis, TN 38109-2944 | 2020-03-20 |
| 1689160939 | Maury Regional Hospital | Clinic/Center | 98 Experiment Station Lane, Columbia, TN 38401-4700 | 2018-07-10 |
| 1194245399 | United Neighborhood Health Services, Inc. | Clinic/Center | 442 Metroplex Dr Ste 200, Nashville, TN 37211-3112 | 2017-06-20 |
| 1659745354 | Memphis Health Center, Inc. | Clinic/Center | 4250 Faronia Rd Ste 2a, Memphis, TN 38116-6527 | 2015-11-18 |
| 1639546187 | United Neighborhood Health Services, Inc. | Clinic/Center | 3904 Gallatin Pike, Nashville, TN 37216 | 2015-08-31 |
| 1790170389 | Maury Regional Hospital | Clinic/Center | 854 W James M Campbell Blvd Ste 301, Columbia, TN 38401-4659 | 2015-04-01 |
| 1285999128 | United Neighborhood Health Services, Inc | Clinic/Center | 401 Walton Ln, Nashville, TN 37216-1018 | 2012-07-06 |
| 1891058848 | United Neighborhood Health Services, Inc | Clinic/Center | 1900 Hobson Pike, Antioch, TN 37013-2421 | 2012-06-23 |
| 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.