MONTGOMERY COUNTY HEALTH DEPARTMENT (NPI# 1609113224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609113224 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY COUNTY HEALTH DEPARTMENT |
| Practice Address |
330 Pageant Ln Clarksville TN 37040-3854 |
| Practice Telephone | 9316485747 |
| Mailing Telephone | 9316485747 |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |
| Authorized Official Name | PAULETTE COWAN (HUMAN RESOURCES) |
| Authorized Official Telephone | 6156507024 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
0000115065 | TN | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619235090 | Montgomery County Health Department | Public Health or Welfare | 1040 Maysville Rd, Mount Sterling, KY 40353-9337 | 2012-04-24 |
| 1114203692 | Montgomery County Health Department | Public Health or Welfare | 212 N Maysville St, Mount Sterling, KY 40353-1150 | 2011-10-27 |
| 1568775088 | Montgomery County Health Department | Community/Behavioral Health | 1404 School St, Hillsboro, IL 62049-1938 | 2010-07-26 |
| 1396058723 | Montgomery County Health Department | Community/Behavioral Health | 317 W Union Ave, Litchfield, IL 62056-1932 | 2010-07-14 |
| 1598748071 | Montgomery County Health Department | Public Health or Welfare | 117 Civic Ctr, Mt Sterling, KY 40353-1478 | 2005-11-29 |
| 1366003535 | Montgomery County Health Department | Clinic/Center | 11191 Illinois Route 185, Hillsboro, IL 62049-2664 | 2019-06-27 |
| 1245891415 | Montgomery County Health Department | Clinic/Center | 317 W Union Ave, Litchfield, IL 62056-1932 | 2019-06-27 |
| 1215440417 | Montgomery County Health Department | Public Health or Welfare | 400 Salisbury St, Montgomery City, MO 63361-1232 | 2017-11-09 |
| 1962956946 | Montgomery County Health Department | Community/Behavioral Health | 11191 Illinois Route 185, Hillsboro, IL 62049-2664 | 2016-08-08 |
| 1356712673 | Montgomery County Health Department | Clinic/Center | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2015-10-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MONTGOMERY COUNTY HEALTH DEPARTMENT | 400 N Salisbury, Montgomery City, MO 63361-1232 |
| Street Address |
330 PAGEANT LN |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649259367 | Tennesee Department of Health | Public Health or Welfare | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2006-01-11 |
| 1902421621 | Sophie Solano | Registered Nurse | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2020-06-09 |
| 1215550694 | Allison Ellis | Registered Nurse | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2020-05-20 |
| 1942835194 | Erin Guglielmo | Registered Nurse | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2020-03-09 |
| 1972143022 | Sheldon Wharton | Registered Nurse | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2020-01-07 |
| 1033753900 | Jennifer Chunn | Registered Nurse | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2019-11-04 |
| 1689216640 | Emily Nicole Howell | Registered Nurse | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2019-10-11 |
| 1891347860 | Shawnna Michelle Kirkland | Registered Nurse | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2019-07-10 |
| 1023672607 | Kimberly White | Licensed Practical Nurse | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2019-04-29 |
| 1659833531 | Ashley M Elliott | Registered Nurse | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2019-04-01 |
| 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 | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316403405 | Crossroads Treatment Centers of Tennessee, PC | Clinic/Center | 2305 N Gateway Ave Unit 4, Harriman, TN 37748-8683 | 2019-02-14 |
| 1306277041 | Hospital Transitional Care | Clinic/Center | 140 Allenhurst Cir, Franklin, TN 37067-7271 | 2013-12-05 |
| 1255673380 | Downtown Medical Clinic Pllc | Clinic/Center | 113 Hopkins Avenue, Bells, TN 38006 | 2013-03-27 |
| 1164652962 | The Steets Corporation | Clinic/Center | 3566 N Highland Ave, Suite A, Jackson, TN 38305-7890 | 2009-07-15 |
| 1699213348 | County of Blount | Clinic/Center | 301 Mcghee St, Maryville, TN 37801-6811 | 2017-02-02 |
| 1578018909 | Salvus Center, Inc. | Clinic/Center | 556 Hartsville Pike, Suite 200, Gallatin, TN 37066-2491 | 2016-08-15 |
| 1285002634 | Tri State Community Health Center | Clinic/Center | 4041 Knight Arnold Rd, Suite 100, Memphis, TN 38118-2128 | 2015-09-02 |
| 1457758112 | Psychiatric Clinic of Green Hills | Clinic/Center | 2125 Belcourt Ave, Nashville, TN 37212-3503 | 2014-11-24 |
| 1295136349 | Resurrection Health | Clinic/Center | 4095 American Way, Memphis, TN 38118-8339 | 2014-09-09 |
| 1720499692 | Chota Community Health Services | Clinic/Center | 3030 Lee Hwy, Athens, TN 37303-5062 | 2014-05-14 |
| 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.