CLARKSVILLE LIMB & BRACE & REHAB., INC. (NPI# 1700881307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700881307 |
| Entity Type | Organization |
| Organization Name | CLARKSVILLE LIMB & BRACE & REHAB., INC. |
| Other Organization Name | GLASGOW ORTHOTICS & PROSTHETICS |
| Practice Address |
4288 N Jackson Hwy Glasgow KY 42141-9020 |
| Mailing Address |
1816 Memorial Cir Clarksville TN 37043-4539 |
| Practice Telephone | 2706787290 |
| Practice Fax Number | 2706781271 |
| Mailing Telephone | 9316482155 |
| Mailing Fax Number | 9316474952 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2008-07-24 |
| Authorized Official Name | MS. JUDY LYNN FARRIS (OFFICE MANAGER) |
| Authorized Official Telephone | 9316482155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000382051 | 01 |
| KY | 90262569 | 05 |
| Other Name | Type Code |
|---|---|
| Glasgow Orthotics & Prosthetics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215932801 | Clarksville Limb & Brace & Rehab., Inc. | Specialist | 230 S Franklin St, Russellville, KY 42276-1937 | 2005-06-20 |
| 1275538860 | Clarksville Limb & Brace & Rehab., Inc. | Specialist | 165 Natchez Trace, Ste. 202, Bowling Green, KY 42103 | 2005-06-20 |
| 1932104510 | Clarksville Limb & Brace & Rehab., Inc. | Specialist | 980 Professional Park Dr, Suite B, Clarksville, TN 37040-4539 | 2005-06-20 |
| Street Address |
4288 N JACKSON HWY |
| City | GLASGOW |
| State | KY |
| Zip Code | 42141-9020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710505912 | Adriene Elizabeth Wilson | Nurse Practitioner | 310 N. L. Rogers Blvd., Glasgow, KY 42141 | 2020-07-14 |
| 1649896648 | Katrina Antonette Casanova Tinoco | Student in an Organized Health Care Education/Training Program | 1325 North Race St., University of Louisville/glasgow, Glasgow, KY 42141 | 2020-06-25 |
| 1245744630 | Town and Country Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 742a East Main Street, Glasgow, KY 42141 | 2017-11-22 |
| 1821413022 | Russell England | Nurse Practitioner | 370 Beaver Mound Circle, Glasgow, KY 42141 | 2014-02-25 |
| 1447507439 | Rehabcare | Skilled Nursing Facility | 109homewoodblvd, Glasgow, KY 42141 | 2012-08-08 |
| 1578847778 | Alexander Kwadwo Somuah | Pharmacist | 1001 W. Main St, Glasgow, KY 42141 | 2011-10-06 |
| 1518240522 | William David Wiley | Pharmacist | 1001 West Main St., Glasgow, KS 42141 | 2011-09-26 |
| 1003121732 | Teresa Katherine Essex | Speech-Language Pathologist | 341 Ginger Rd, Glasgow, KY 42141 | 2010-08-18 |
| 1396915468 | R David Fant Md Psc | Pediatrics | 1407 North Race St, Glasgow, KY 42141 | 2008-03-05 |
| 1003021957 | Eddy Joe Newberry II | Dentist | 400 S. Broadway, Glasgow, KY 42141 | 2007-05-14 |
| Find all providers in zip 42141 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678701 | Tywahneikai Lashae Bailey | Specialist | 673 Knox Blvd Ste C, Radcliff, KY 40160-1568 | 2019-09-16 |
| 1679057822 | Melanie Higgins- Day | Specialist | 121 Malabu Dr Ste 4, Lexington, KY 40503-3143 | 2018-09-23 |
| 1528552528 | Nachell Tashae Beeler | Specialist | 126 N 42nd St, Louisville, KY 40212-2606 | 2018-06-21 |
| 1982101549 | Soyini Edwards | Specialist | 2780d New Holt Rd Ste 370, Paducah, KY 42001-7436 | 2018-04-10 |
| 1669974168 | Danielle Mack | Specialist | 4611 Peachtree Ave, Louisville, KY 40215-2442 | 2018-03-01 |
| 1568880037 | All About Your Hair LLC | Specialist | 7828 Westbrook Rd, Louisville, KY 40258 | 2014-04-02 |
| 1720404593 | Kahndra Chauntay Franklin | Specialist | 952 Winchester Rd, Suite 120, Lexington, KY 40505 | 2014-03-17 |
| 1821313255 | Pamela Lee | Specialist | 752 Runaway Dr, Fountain Run, KY 42133-8539 | 2010-03-29 |
| 1073846127 | Sherman G Dudley | Specialist | 119 Nancy Cox Dr, Suite 2, Campbellsville, KY 42718-6832 | 2009-09-08 |
| 1376790998 | Mary Justine Parrott-allen | Specialist | 115 Central Plaza Shopping Center, Campbellsville, KY 42718-1595 | 2008-08-26 |
| 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.