CAMPBELL CLINIC PC (NPI# 1619152642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619152642 |
| Entity Type | Organization |
| Organization Name | CAMPBELL CLINIC PC |
| Practice Address |
1458 W Poplar Ave Ste 100 Collierville TN 38017-0630 |
| Mailing Address |
1400 S Germantown Rd Germantown TN 38138-2205 |
| Practice Telephone | 9017593100 |
| Mailing Telephone | 9017593100 |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |
| Authorized Official Name | JOHN VINES (CEO) |
| Authorized Official Telephone | 9017593100 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAMPBELL CLINIC PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376720714 | Campbell Clinic PC | Durable Medical Equipment & Medical Supplies | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2008-01-29 |
| 1902081938 | Campbell Clinic PC | Durable Medical Equipment & Medical Supplies | 1211 Union Ave Ste 500, Memphis, TN 38104-6656 | 2008-01-09 |
| 1386829307 | Campbell Clinic PC | Durable Medical Equipment & Medical Supplies | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2008-01-09 |
| Street Address |
1458 W POPLAR AVE STE 100 |
| City | COLLIERVILLE |
| State | TN |
| Zip Code | 38017-0630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982828364 | Benjamin Matthew Mauck | Orthopaedic Surgery | 1458 W Poplar Ave Ste 100, Collierville, TN 38017-0630 | 2007-04-13 |
| 1053601591 | Tyler James Brolin | Orthopaedic Surgery | 1458 W Poplar Ave Ste 100, Collierville, TN 38017-0630 | 2011-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827338 | George Nathan Freeman IIi | Chiropractor | 2028 W. Poplar, Suite 105, Collierville, TN 38017 | 2020-10-01 |
| 1104440171 | Cecelia Hunt | Social Worker | 2555 Halle Parkwsy, Collierville, TN 38017 | 2020-06-04 |
| 1053803403 | Sarah Harris | Physical Therapist | 605 Heather Lake Cv, Collierville, TN 38017 | 2018-06-01 |
| 1023507811 | Sandra P Morris | Pharmacist | 560 West Poplar, Collierville, TN 38017 | 2018-05-07 |
| 1043751159 | Rahim Panjwani | Physical Therapist | 2028 W. Poplar Ave, Collierville, TN 38017 | 2017-03-09 |
| 1104273234 | The Branch House | Counselor | 562 Center St, Collierville, TN 38017 | 2016-05-18 |
| 1760840052 | Amodeo Chiropractic Center Inc | Chiropractor | 161 Hwy 72 East, Collierville, TN 38017 | 2016-02-02 |
| 1235520628 | Bonnie Morales | Nurse Practitioner | 472 W. Poplar Ave, Collierville, TN 38017 | 2015-02-06 |
| 1841616513 | First Choice Transportation | Non-emergency Medical Transport (VAN) | 336 E. Valleywood Drive, Collierville, TN 38017 | 2014-03-05 |
| 1821424276 | Shana Cole Cannon | Licensed Practical Nurse | 777 W. Poplar Ave., Suite 104, Collierville, TN 38017 | 2013-09-17 |
| Find all providers in zip 38017 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649713702 | Southeastern Medical LLC | Durable Medical Equipment & Medical Supplies | 498 Halle Park Dr, Collierville, TN 38017-7089 | 2016-11-22 |
| 1245665850 | Pro Care Pharmacy, LLC. | Durable Medical Equipment & Medical Supplies | 60 Market Center Dr Ste 103, Collierville, TN 38017-7077 | 2013-09-13 |
| 1043597636 | Access Medical Supply & Delivery | Durable Medical Equipment & Medical Supplies | 450 Itawamba Rd, Collierville, TN 38017-3589 | 2011-11-09 |
| 1982930756 | Reliable Mobility & Medical Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 201 S Center St Ste 120, Collierville, TN 38017-3033 | 2009-10-28 |
| 1497939482 | Mtg Financial Services and Assoc. | Durable Medical Equipment & Medical Supplies | 432 Highway 72 Ste 1, Collierville, TN 38017-2808 | 2007-12-26 |
| 1558456418 | Reach Medcare, LLC | Durable Medical Equipment & Medical Supplies | 356 New Byhalia Rd, Suite 1b, Collierville, TN 38017-3742 | 2006-10-04 |
| 1235146234 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2016 S Houston Levee Rd, Collierville, TN 38017-0857 | 2006-08-02 |
| 1316954324 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3689 S Houston Levee Rd, Collierville, TN 38017-9014 | 2006-08-02 |
| 1649285644 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 824 W Poplar Ave, Collierville, TN 38017-2579 | 2006-07-29 |
| 1346267531 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 560 W Poplar Ave, Collierville, TN 38017-6507 | 2006-07-16 |
| Find all providers in COLLIERVILLE | ||||
| City | COLLIERVILLE |
| Zip Code | 38017 |
Please comment or provide details below to improve the information on CAMPBELL CLINIC PC.
| 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.