CHS TENNESSEE MEDICAL P C (NPI# 1669010112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669010112 |
| Entity Type | Organization |
| Organization Name | CHS TENNESSEE MEDICAL P C |
| Other Organization Name | SMUCKER SCOTTSVILLE HEALTH CENTER |
| Practice Address |
1070 Smith Grove Rd Scottsville KY 42164-9444 |
| Mailing Address |
5500 Maryland Way Ste 120 Brentwood TN 37027-4993 |
| Practice Telephone | 2702396024 |
| Practice Fax Number | 2702396060 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | DR. PETER J VASQUEZ (PRESIDENT) |
| Authorized Official Telephone | 8444077557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Smucker Scottsville Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515733 | Chs Tennessee Medical P C | Clinic/Center | 800 Howard Baker Ave # Jr, Knoxville, TN 37915-2509 | 2019-08-30 |
| 1457833378 | Chs Tennessee Medical P C | Clinic/Center | 2200 Nw Brickyard Rd, Topeka, KS 66618-2814 | 2018-09-06 |
| 1316427602 | Chs Tennessee Medical P C | Clinic/Center | 2680 Pershing Ave, Memphis, TN 38112 | 2018-08-16 |
| 1861981797 | Chs Tennessee Medical P C | Clinic/Center | 2782 York Rd, Pleasant View, TN 37146-9070 | 2018-05-07 |
| 1548757933 | Chs Tennessee Medical P C | Clinic/Center | 1 Nissan Way, Franklin, TN 37067-6367 | 2018-04-20 |
| 1689161077 | Chs Tennessee Medical P C | Clinic/Center | 701 Brooks Ave S, Thief River Falls, MN 56701-2757 | 2018-04-20 |
| 1073901344 | Chs Tennessee Medical P C | Clinic/Center | 1810 Robert C Jackson Dr, Maryville, TN 37801-3788 | 2015-01-08 |
| 1346426947 | Chs Tennessee Medical P C | Clinic/Center | 1200 Fleetguard Rd, Cookeville, TN 38506-6258 | 2008-01-14 |
| 1336740414 | Chs Tennessee Medical P C | Clinic/Center | 2400 Denso Dr, Athens, TN 37303-7835 | 2020-11-04 |
| 1144851858 | Chs Tennessee Medical P C | Clinic/Center | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-31 |
| Street Address |
1070 SMITH GROVE RD |
| City | SCOTTSVILLE |
| State | KY |
| Zip Code | 42164-9444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490790 | Jerry Moore Scott | Technician | 6184 Old Glasgow Rd, Scottsville, KY 42164 | 2019-10-30 |
| 1457697146 | Southern Medical Supply | Durable Medical Equipment & Medical Supplies | 625 Kentucky 980, Scottsville, KY 42164 | 2012-12-27 |
| 1649336348 | Carpenter Dent Drugs Inc | Durable Medical Equipment & Medical Supplies | 1088 Veterans Memorial, Scottsville, KY 42164 | 2006-12-28 |
| 1548334105 | Ann Marie Davis | Dentist | 306 B North Court Street, Scottsville, KY 42164 | 2006-11-17 |
| 1194897959 | Angel Faye Duncan | Developmental Therapist | 147 Homestead Court, Scottsville, KY 42164 | 2006-11-15 |
| 1619517893 | Commonwealth Health Corporation, Inc. | Nurse Practitioner | 1545 Bowling Green Rd Rm 803, Bowling Green, KY 42164 | 2020-01-15 |
| 1760043129 | Paige Jordan Flora | Rehabilitation Counselor | 512 Bowling Green Rd, Scottsville, KY 42164 | 2019-06-26 |
| 1427292531 | Hilltop Family Dental Care, Psc | Dentist | 1046 Veterans Memorial Highway, Scottsville, KY 42164 | 2009-04-21 |
| 1700989217 | Bowling Green Warren County Community Hospital Corporation | General Acute Care Hospital | 456 Burnley Rd, Scottsville, KY 42164 | 2006-09-07 |
| 1063969582 | Heather Shepherd | Social Worker | 512 Bowling Green Rd, Scottsville, KY 42164-0512 | 2016-09-01 |
| Find all providers in zip 42164 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312847 | Crossover Health Medical Group | Clinic/Center | 544 Conestoga Pkwy Ste 3, Shepherdsville, KY 40165-5676 | 2020-09-24 |
| 1861028268 | Uofl Health-louisville Inc | Clinic/Center | 1903 W. Hebron Ln, Shepherdsville, KY 40165-7425 | 2020-03-17 |
| 1962036210 | Emerge Rehab & Wellness,llc | Clinic/Center | 3501 Fenwick Park Pl Apt F, Louisville, KY 40220-5844 | 2020-02-25 |
| 1952940215 | Kentucky Center for Regenerative Medicine, LLC | Clinic/Center | 4010 Dupont Cir Ste 203, Louisville, KY 40207-4847 | 2020-01-03 |
| 1336790302 | Advamed Health LLC | Clinic/Center | 301 Wendell Way, London, KY 40741-2064 | 2019-09-21 |
| 1538653639 | Eastern Kentucky Recovery, LLC | Clinic/Center | 5860 Main St Ste B, Clay City, KY 40312-1319 | 2018-06-21 |
| 1609369024 | Usimc of West Virginia Medical Corporation | Clinic/Center | 4600 Houston Rd, Florence, KY 41042-4820 | 2018-06-11 |
| 1982117271 | Triad Health Systems, Inc. | Clinic/Center | 2340 Highway 22 E, Owenton, KY 40359-9176 | 2017-11-09 |
| 1700313293 | Complete Laser Clinic of Louisville, LLC | Clinic/Center | 3000 Fern Valley Rd, Louisville, KY 40213-3522 | 2017-05-16 |
| 1356898373 | Baptist Health Employer Solutions, Inc | Clinic/Center | 2501 Nelson Miller Pkwy Ste 102, Louisville, KY 40223-2221 | 2016-09-07 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSVILLE |
| Zip Code | 42164 |
Please comment or provide details below to improve the information on CHS TENNESSEE MEDICAL P C.
| 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.