HARDEMAN COUNTY COMMUNITY HEALTH CENTER (NPI# 1558721233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558721233 |
| Entity Type | Organization |
| Organization Name | HARDEMAN COUNTY COMMUNITY HEALTH CENTER |
| Practice Address |
629 Nuckolls Rd Bolivar TN 38008-1599 |
| Practice Telephone | 7316585294 |
| Mailing Telephone | 7316585294 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |
| Authorized Official Name | LINDA LOVELACE (CFO) |
| Authorized Official Telephone | 7316585294 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PD11747 | AR | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 6909 | MS | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 5764 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659875227 | Hardeman County Community Health Center | Clinic/Center | 445 Nuckolls Rd, Bolivar, TN 38008-1539 | 2018-03-20 |
| 1366637969 | Hardeman County Community Health Center | Clinic/Center | 1132 Industrial Dr, Henderson, TN 38340-1310 | 2007-09-07 |
| 1356531610 | Hardeman County Community Health Center | Clinic/Center | 17 1st St E, Stanton, TN 38069-4426 | 2007-08-01 |
| 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 |
629 NUCKOLLS RD |
| City | BOLIVAR |
| State | TN |
| Zip Code | 38008-1599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982606497 | Richard Mast Reinhard IIi | Pediatrics | 629 Nuckolls Rd, Bolivar, TN 38008 | 2005-08-15 |
| 1578101499 | Merry Anna Snider | Nurse Practitioner | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2019-12-11 |
| 1003381815 | Rebekah Kathleen Rossetta | Nurse Practitioner | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2018-10-08 |
| 1851828677 | Deborah Dillard | Registered Nurse | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2017-05-11 |
| 1336688043 | Eric Alan Folk | Pharmacist | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2017-02-14 |
| 1366984239 | Rebecca Lillian Long | Nurse Practitioner | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2016-11-09 |
| 1871966499 | Hcchc Pharmacy | Pharmacy | 629 Nuckolls Rd, Suite A, Bolivar, TN 38008-1599 | 2015-11-04 |
| 1427296276 | Samuel Terry Johnson Jr. | Family Medicine | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2009-02-02 |
| 1568508448 | Olufemi E Soyinka | Family Medicine | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2007-01-29 |
| 1033205877 | Jeannie A Ferri | Nurse Practitioner | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639172 | Shanna Shackelford | Nurse Practitioner | 11100 Old Hwy 64 W, Bolivar, TN 38008 | 2019-09-26 |
| 1598326233 | Holly Brooke Shourd | Family Medicine | 1359 W Market St., Bolivar, TN 38008 | 2019-06-24 |
| 1992299234 | Angela Dawn Haynes | Registered Nurse | 10825 Hwy 64w, Bolivar, TN 38008 | 2018-06-20 |
| 1326595919 | Ashley Evon Jowers | Nurse Practitioner | 11100 Old Hwy 64 West, Bolivar, TN 38008 | 2016-09-01 |
| 1942458344 | Anita Pearl Johnson | Physical Therapy Assistant | 700 Knuckolls Ave, Bolivar, TN 38008 | 2008-08-28 |
| 1841340007 | State of Tennessee | Public Health or Welfare | 10825 Old Hwy 64, Bolivar, TN 38008 | 2007-01-11 |
| 1164479721 | Betty Ragon Lenoir | Physical Therapist | 789 Tennessee St, Bolivar, TN 38008 | 2006-05-28 |
| 1689623050 | County of Hardeman | Ambulance | 735 Naylor St, Bolivar, TN 38008 | 2006-05-10 |
| 1841287109 | Michiel Brent Rudder | Family Medicine | 622 West Market Street, Bolivar, TN 38008 | 2005-10-03 |
| 1700288024 | Elizabeth Gault Ligon | Optometrist | 725 W Market St, Bolivar, TN 38008 | 2014-09-17 |
| Find all providers in zip 38008 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861868465 | Elizabeth Ashley Willis | Pharmacist | 1355 W Market St, Bolivar, TN 38008-1715 | 2015-08-18 |
| 1083919005 | Hope Caples Parker | Pharmacist | 109 Tennessee St, Bolivar, TN 38008-1822 | 2011-01-22 |
| 1972749794 | Sonja Lynn Obryan | Pharmacist | 1885 E Thornridge Dr, Bolivar, MO 65613-1283 | 2008-12-29 |
| 1952503914 | Leigh Boston Cummings | Pharmacist | 622 W Market St Ste 200, Bolivar, TN 38008-2241 | 2007-06-01 |
| 1649367335 | Dan Mchan | Pharmacist | 103 E Broadway, Bolivar, MO 65613-1621 | 2006-10-06 |
| 1437261062 | Sno White-benson | Pharmacist | 1100 S. Springfield Suite A, Suite 1, Bolivar, MO 65613-0158 | 2006-08-31 |
| 1932175965 | Jeff Sparks | Pharmacist | 2000b S Springfield Ave, Bolivar, MO 65613-9654 | 2006-02-28 |
| 1710591193 | John R Myers II | Pharmacist | 1820 S Springfield Ave, Bolivar, MO 65613-2563 | 2020-09-03 |
| 1912511296 | Robert Wilkins | Pharmacist | 1820 S Springfield Ave, Bolivar, MO 65613-2563 | 2020-09-03 |
| 1568070217 | Cameron Tyler Hargrove | Pharmacist | 1604 W Market St, Bolivar, TN 38008-1536 | 2020-07-20 |
| Find all providers in BOLIVAR | ||||
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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.