PERRY COUNTY MEDICAL CENTER, INC. (NPI# 1659567527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659567527 |
| Entity Type | Organization |
| Organization Name | PERRY COUNTY MEDICAL CENTER, INC. |
| Other Organization Name | THREE RIVERS COMMUNITY HEALTH GROUP |
| Practice Address |
7723 Clearview Church Ln Lyles TN 37098-1609 |
| Mailing Address |
Po Box 129 Lyles TN 37098-0129 |
| Practice Telephone | 9316705520 |
| Practice Fax Number | 9316705312 |
| Mailing Telephone | 9316705520 |
| Mailing Fax Number | 9316705312 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | PHILLIP TATUM (CEO) |
| Authorized Official Telephone | 9315892104 |
| Is Organization Subpart | Y |
| Parent Organization Name | PERRY COUNTY MEDICAL CENTER, 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 |
|---|---|
| Three Rivers Community Health Group | Doing Business As Name - Organization |
| Three Rivers Community Health-Hickman | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535703 | Perry County Medical Center, Inc. | Dentist | 7723 Clearview Church Ln Ste 200, Lyles, TN 37098-1674 | 2019-09-03 |
| Street Address |
7723 CLEARVIEW CHURCH LN |
| City | LYLES |
| State | TN |
| Zip Code | 37098-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194717645 | Martha Jane Shepard | Pharmacist | 7723 Clearview Church Ln, Lyles, TN 37098-1609 | 2005-08-19 |
| 1831676840 | Amanda Tidwell | Nurse Practitioner | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2018-07-23 |
| 1184968455 | Kjk LLC | Pharmacy | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2012-11-26 |
| 1952653057 | Joseph B Sweat | Nurse Practitioner | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2012-10-12 |
| 1265707533 | Sherry Lynn Tidwell | Registered Nurse | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2012-03-20 |
| 1881977684 | Mark Allen Graves | Nurse Practitioner | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2011-09-28 |
| 1851523732 | Brent Lee | Dentist | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2009-08-11 |
| 1407087570 | Leah Gordon Lee | Dentist | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2009-08-06 |
| 1205828662 | Community Pharmacy Care, Inc. | Pharmacist | 7723 Clearview Church Ln, Lyles, TN 37098-1609 | 2005-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902224827 | Sole Supports, Inc. | Durable Medical Equipment & Medical Supplies | 7674 Highway 7, Lyles, TN 37098-1571 | 2014-03-29 |
| 1710535703 | Perry County Medical Center, Inc. | Dentist | 7723 Clearview Church Ln Ste 200, Lyles, TN 37098-1674 | 2019-09-03 |
| 1225049570 | Hickman Community Health Careservices | Clinic/Center | 5047 Highway 100, Lyles, TN 37098-1878 | 2006-08-11 |
| 1598755407 | Darryl A Bivens | Dentist | 5103 Highway 100, Lyles, TN 37098-1879 | 2005-10-24 |
| 1871747832 | Bivens Dental Group PC | Clinic/Center | 5103 Highway 100, Lyles, TN 37098-1879 | 2008-11-04 |
| 1932124625 | Dialysis Clinic Inc. | Clinic/Center | 7900 Cedar Crest Camp Rd, Lyles, TN 37098-1978 | 2006-07-13 |
| 1437303542 | Excel Physical Therapy, LLC | Physical Therapist | 5194 Highway 100, Suite 105, Lyles, TN 37098-2821 | 2008-11-17 |
| 1326118415 | Stephen M Mcclellan | Physical Therapist | 5194 Highway 100, Suite 105, Lyles, TN 37098-2821 | 2006-11-08 |
| 1912015108 | Dickson Medical Associates, PC | Nurse Practitioner | 5194 Highway 100, Suite 106, Lyles, TN 37098-2821 | 2006-08-28 |
| 1578934790 | Zilla F Henricksen | Nurse Practitioner | 5194 Highway 100 Ste 106, Lyles, TN 37098-2822 | 2015-10-14 |
| Find all providers in zip 37098 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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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.