THORNBURG FAMILY MEDICAL CLINIC, INC (NPI# 1386951101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386951101 |
| Entity Type | Organization |
| Organization Name | THORNBURG FAMILY MEDICAL CLINIC, INC |
| Practice Address |
160 Hospital Dr Camden TN 38320-1618 |
| Practice Telephone | 7312790600 |
| Practice Fax Number | 7312790555 |
| Mailing Telephone | 7312790600 |
| Mailing Fax Number | 7312790555 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |
| Authorized Official Name | MS. KAREN LYNN FREDERICK (OWNER) |
| Authorized Official Telephone | 7312790600 |
| Authorized Official Credential | MSN,FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
14836 | TN | Ambulatory Health Care Facilities |
| Street Address |
160 HOSPITAL DR |
| City | CAMDEN |
| State | TN |
| Zip Code | 38320-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467648949 | Deborah T Smothers | Nurse Practitioner | 160 Hospital Dr, Camden, TN 38320-1618 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144525395 | Mickie Carter | Physician Assistant | 284 Hwy 641 N, Camden, TN 38320 | 2011-01-19 |
| 1447574249 | Virginia Margarita Peebles | Nurse Practitioner | 176 Briarwood Ave, Suite B, Camden, TN 38320 | 2010-03-23 |
| 1194857417 | Tron D Baker | Case Manager/Care Coordinator | 495 Liberty Rod, Camden, TN 38320 | 2007-03-12 |
| 1801968854 | Michael Eugene Bogard | Physical Therapist | 77 East Lake St, Camden, TN 38320 | 2006-11-14 |
| 1134217029 | Agustin V Vitualla | General Practice | 135 Hospital Dr, Camden, TN 38320 | 2006-10-10 |
| 1629000567 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 195 North 641, Camden, TN 38320 | 2006-07-07 |
| 1215995287 | Quality Home Health Care, Inc. | Home Health | 279 W Main St, Camden, TN 38320 | 2006-05-01 |
| 1285612564 | Camden Medical Clinic, Inc | Clinic/Center | 160 Hospital Dr., Camden, TN 38320 | 2006-01-06 |
| 1073513636 | William Hall Mcconnell | Optometrist | 194 W. Main St., Camden, TN 38320 | 2005-07-26 |
| 1790077139 | Ccc Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 115 Vicksburg Ave, Camden, TN 38320 | 2011-05-04 |
| Find all providers in zip 38320 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1891113965 | Rome Memorial Hospital, Inc | Clinic/Center | 5 Masonic Ave, Camden, NY 13316-1234 | 2014-04-04 |
| 1912325077 | Leap Health and Wellness Center | Clinic/Center | 130 N Broadway, 10th Floor, Camden, NJ 08102-1122 | 2014-04-04 |
| 1386984763 | Broadway Community Health Care, Inc | Clinic/Center | 442 S Broadway, Camden, NJ 08103-1246 | 2013-02-22 |
| 1750651857 | Ouachita Physician Services | Clinic/Center | 476 Hospital Dr, Camden, AR 71701-4616 | 2012-01-05 |
| 1801178207 | Ramon Acosta Md PC | Clinic/Center | 2 Leonard Ave, Camden, NJ 08105-2404 | 2011-09-13 |
| Find all providers in CAMDEN | ||||
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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.