CLARKSVILLE HEALTH SYSTEM GP (NPI# 1427671718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427671718 |
| Entity Type | Organization |
| Organization Name | CLARKSVILLE HEALTH SYSTEM GP |
| Other Organization Name | TENNOVA HEALTHCARE-CLARKSVILLE |
| Practice Address |
651 Dunlop Ln Clarksville TN 37040-5015 |
| Practice Telephone | 9155021000 |
| Mailing Telephone | 9155021000 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | PAULA LALOR (DIRECTOR) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLARKSVILLE HEALTH SYSTEM GP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Tennova Healthcare-Clarksville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861431652 | Clarksville Health System Gp | Durable Medical Equipment & Medical Supplies | 1760 Madison St, Clarksville, TN 37043-4913 | 2006-06-06 |
| 1952581761 | Clarksville Health System Gp | Hospitalist | 1771 Madison Street, Clarksville, TN 37043-4990 | 2007-11-08 |
| 1003823097 | Clarksville Health System Gp | Psychiatry & Neurology | 1771 Madison St, Clarksville, TN 37043-4990 | 2006-08-02 |
| 1659326700 | Clarksville Health System Gp | Rehabilitation Unit | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2006-05-24 |
| 1285689794 | Clarksville Health System Gp | Clinic/Center | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2006-05-23 |
| Street Address |
651 DUNLOP LN |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821098690 | Dale P Cunningham | Physical Medicine & Rehabilitation | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2005-07-22 |
| 1487253183 | Carlyn Alexandra Owens | Physician Assistant | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2020-10-22 |
| 1063041010 | Caitlynn Richole Laster | Dietitian, Registered | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2020-04-02 |
| 1457994402 | Caroline Elizabeth Chadwell | Physician Assistant | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2019-10-22 |
| 1215578976 | Brian Ronald Song | Physician Assistant | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2019-10-03 |
| 1942768866 | Sabrina Patrise Poydras | Nurse Practitioner | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2019-03-10 |
| 1790274850 | Cedar Ridge Critical Care Medical Group PC | Physician Assistant | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2018-05-04 |
| 1780181263 | Allison Bledsoe | Nurse Practitioner | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2018-04-10 |
| 1528579604 | Valley Emergency Physicians Tennessee PC | Nurse Practitioner | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2017-10-17 |
| 1730698671 | Mackenzie Zak Rickert | Physician Assistant | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2017-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134178130 | Johnson Regional Medical Center | Medicare Defined Swing Bed Unit | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134655731 | West Tennessee Rehabilitation Hospital, LLC | Medicare Defined Swing Bed Unit | 180 Mount Pelia Road, Martin, TN 38237 | 2017-05-03 |
| 1073622007 | Chattanooga Hamilton County Hospital Authority | Medicare Defined Swing Bed Unit | 71 Wheelertown Avenue, Pikeville, TN 37367 | 2006-08-30 |
| 1598734352 | Rebound LLC | Medicare Defined Swing Bed Unit | 190 Mount Pelia Rd, Martin, TN 38237-3812 | 2006-03-15 |
| 1821060930 | Martin Health | Medicare Defined Swing Bed Unit | 161 Mount Pelia Rd, Martin, TN 38237-3811 | 2006-02-02 |
| 1518957950 | Bolivar General Hospital, Inc. | Medicare Defined Swing Bed Unit | 650 Nuckolls Rd, Bolivar, TN 38008-1532 | 2005-10-26 |
| 1952900920 | Vanderbilt Bedford Hospital, LLC | Medicare Defined Swing Bed Unit | 2835 Highway 231 N, Shelbyville, TN 37160-7327 | 2020-10-21 |
| 1750904041 | Tullahoma Hma LLC | Medicare Defined Swing Bed Unit | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2020-05-21 |
| 1518580893 | Cleveland Tennessee Hospital Company LLC | Medicare Defined Swing Bed Unit | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2020-05-21 |
| 1417570961 | Metro Knoxville Hma LLC | Medicare Defined Swing Bed Unit | 7565 Dannaher Dr, Powell, TN 37849-4029 | 2020-05-19 |
| 1356973663 | Lauderdale Community Hospital LLC | Medicare Defined Swing Bed Unit | 326 Asbury Ave, Ripley, TN 38063-5577 | 2020-02-05 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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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.