CITIZENS OF LAKE COUNTY FOR HEALTH CARE, INC (NPI# 1558609628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558609628 |
Entity Type | Organization |
Organization Name | CITIZENS OF LAKE COUNTY FOR HEALTH CARE, INC |
Other Organization Name | LAUDERDALE COUNTY MEDICAL CLINIC |
Practice Address |
317 Cleveland St Ripley TN 38063 |
Mailing Address |
710 Carl Perkins Pkwy Tiptonville TN 38063 |
Practice Telephone | 7312211804 |
Practice Fax Number | 7312211880 |
Mailing Telephone | 7312536690 |
Mailing Fax Number | 7312536692 |
Enumeration Date | 2013-01-24 |
Last Update Date | 2013-01-24 |
Authorized Official Name | AMBER ISBELL (FINANCIAL OFFICER) |
Authorized Official Telephone | 7312536690 |
Is Organization Subpart | Y |
Parent Organization Name | CITIZENS OF LAKE COUNTY FOR HEALTH CARE, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Lauderdale County Medical Clinic | Doing Business As Name - Organization |
Street Address |
317 CLEVELAND ST |
City | RIPLEY |
State | TN |
Zip Code | 38063 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497999155 | Suzette Carroll Stanley | Nurse Practitioner | 317 Cleveland St, Ripley, TN 38063-1205 | 2009-04-26 |
1417479965 | Katrina Jo Korszoloski | Nurse Practitioner | 317 Cleveland St, Ripley, TN 38063-1205 | 2017-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609327246 | Ld&h Specialized Care Services | Preferred Provider Organization | 2260 Us-51, Helen R Tucker Adult Dev Center, Ripley, TN 38063 | 2016-10-19 |
1477984508 | Mid-south Convenient Care, Pllc | Family Medicine | 521 Hwy 51 North, Ripley, TN 38063 | 2013-11-27 |
1285879577 | The Wellness Center of West Tn Inc | Technician | 171 Tucker Street, Ripley, TN 38063 | 2008-12-16 |
1023281185 | Aniko Vedette Campbell | Nurse Practitioner | 79 Highway 51 South, Christian Family Medicine, Ripley, TN 38063 | 2008-04-10 |
1275750556 | Annabelle Chua | Physical Therapist | 326 Asbury Rd, Ripley, TN 38063 | 2007-04-19 |
1073659058 | Thomas Ross Patterson | Dentist | 500 Hwy 51 South, Ripley, TN 38063 | 2007-01-29 |
1144370305 | State of Tennessee | Public Health or Welfare | 500 Highway 51 South, Ripley, TN 38063 | 2007-01-11 |
1669479036 | Syed A Zaidi | Specialist | 868 Highway 51 South, Suite 101, Ripley, TN 38063 | 2005-06-30 |
1083962633 | James Matthew Harper | Optometrist | 479 S Washington St, Ripley, TN 38063 | 2012-08-29 |
1992069538 | Cah Acquisition Company 11 LLC | Surgery | 326 Asbury Ave, Ripley, TN 38063 | 2012-06-28 |
Find all providers in zip 38063 |
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 |
---|---|---|---|---|
1992190367 | Ripley Health Care Associates | Clinic/Center | 749 S Line St, Ripley, MS 38663-2811 | 2015-04-02 |
1992330997 | Lewis County Primary Care Center, Inc. | Clinic/Center | 502 S 2nd St, Ripley, OH 45167-1306 | 2020-03-10 |
1841222155 | Healthsource of Ohio, Inc. | Clinic/Center | 14 N 2nd St, Ripley, OH 45167-1101 | 2006-07-07 |
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 |
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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.