MARTIN HEALTH (NPI# 1669876520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669876520 |
| Entity Type | Organization |
| Organization Name | MARTIN HEALTH |
| Other Organization Name | WEST TENNESSEE MEDICAL GROUP HILLVIEW SOUTH CLINIC |
| Practice Address |
1135 Broadway Street South Fulton TN 38257-2835 |
| Practice Telephone | 7314792606 |
| Practice Fax Number | 7314792610 |
| Mailing Telephone | 7314792606 |
| Mailing Fax Number | 7314792610 |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2018-08-29 |
| Authorized Official Name | JAMES ROSS (PRESIDENT AND CEO) |
| Authorized Official Telephone | 7315416731 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
0000000126 | TN | Ambulatory Health Care Facilities |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q012738 | 05 | |
| TN | 044-3449 | 05 |
| Other Name | Type Code |
|---|---|
| West Tennessee Medical Group Hillview South Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871034462 | Martin Health | Clinic/Center | 143 Kennedy Drive, Martin, TN 38237-3309 | 2017-03-15 |
| 1821060930 | Martin Health | Medicare Defined Swing Bed Unit | 161 Mount Pelia Rd, Martin, TN 38237-3811 | 2006-02-02 |
| 1275505372 | Martin Health | General Acute Care Hospital | 161 Mount Pelia Rd, Martin, TN 38237-3811 | 2006-02-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Martin Health & Wellness LLC | 900 S Hover St Ste D, Longmont, CO 80501 |
| System for Award Management (SAM) Entities | MARTIN HEALTH CENTER | 2025 E Lincoln St, Bloomington, IL 61701-5995 |
| System for Award Management (SAM) Entities | MARTIN HEALTH CENTER, INC. | 420 E 11th St, Cedar Falls, IA 50613-3364 |
| Iowa Business Entities | MARTIN HEALTH CENTER, INC. | 5307 Caraway Ln, Cedar Falls, IA 50613 |
| Iowa Business Entities | MARTIN HEALTH SERVICES, LLC | 900 Omnicare Center, 201 E 4th St, Cincinnati, OH 45202 |
| Street Address |
1135 BROADWAY STREET |
| City | SOUTH FULTON |
| State | TN |
| Zip Code | 38257-2835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275882565 | Katherine Hames Cummings | Physician Assistant | 209 West State Line Rd, South Fulton, TN 38257 | 2012-09-03 |
| 1134275019 | Pamela Suzette Milam | Nurse Practitioner | 209 West State Line Rd., South Fulton, TN 38257 | 2007-01-25 |
| 1740268531 | Charles Avery Rice | Optometrist | 207 West State Line, South Fulton, TN 38257 | 2006-01-03 |
| 1396888996 | Charles Wade Andrews I | Pharmacist | 511 Broadway St, South Fulton, TN 38257 | 2007-02-14 |
| 1932382850 | Dr Charles A Rice Od PC | Optometrist | 207 W State Line St, South Fulton, TN 38257-2015 | 2007-12-13 |
| 1982829065 | Audiene M Stoneham Nance | Developmental Therapist | 311 Holmes St, South Fulton, TN 38257-2139 | 2007-04-16 |
| 1306923537 | William Thomas Byars Jr. | Optometrist | 300 Broadway St, South Fulton, TN 38257-2165 | 2006-11-01 |
| 1699315549 | Zearle Frances Robey | Technician | 407 Harris Drive, South Fulton, TN 38257-2325 | 2020-01-08 |
| 1962421487 | Philip Andrews | Pharmacist | 511 Broadway St, South Fulton, TN 38257-2401 | 2006-07-18 |
| 1093720641 | Southside Drug Inc | Pharmacy | 511 Broadway St, Southern Village S/c, South Fulton, TN 38257-2401 | 2006-07-30 |
| Find all providers in zip 38257 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275317 | Henry County Medical Center | Clinic/Center | 300 Hospital Cir Ste 204, Paris, TN 38242-4597 | 2020-08-14 |
| 1447861562 | Henry County Medical Center | Clinic/Center | 14201 Highway 79 N Unit 4, Buchanan, TN 38222-4183 | 2020-08-12 |
| 1003425224 | Dickson Medical Associate, PC | Clinic/Center | 127 Crestview Park Dr Ste 205, Dickson, TN 37055-2856 | 2020-07-23 |
| 1023631454 | Spring City Family Clinic Pllc | Clinic/Center | 126 Lavender St Ste 2, Spring City, TN 37381-5102 | 2020-05-20 |
| 1871001271 | Shelbyville Hospital Company LLC | Clinic/Center | 1330 Cedar Ln Ste 100, Tullahoma, TN 37388-2284 | 2018-01-19 |
| 1720596125 | Shelbyville Hospital Company LLC | Clinic/Center | 1440 Cedar Ln Unit 100, Tullahoma, TN 37388-2262 | 2018-01-19 |
| 1548788458 | Shelbyville Hospital Company LLC | Clinic/Center | 1612 N Main St Ste A, Shelbyville, TN 37160-2392 | 2017-08-31 |
| 1063938520 | Mid-south Convenient Care, Pllc | Clinic/Center | 1445 Us Highway 51 Byp E Ste B, Dyersburg, TN 38024-2127 | 2017-08-16 |
| 1871034462 | Martin Health | Clinic/Center | 143 Kennedy Drive, Martin, TN 38237-3309 | 2017-03-15 |
| 1881135895 | Humboldt Family Walk-in Clinic LLC | Clinic/Center | 1600 Coleman Dr, Humboldt, TN 38343-1756 | 2017-03-10 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH FULTON |
| Zip Code | 38257 |
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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.