CLARKSVILLE HEALTH SYSTEM GP (NPI# 1861431652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861431652 |
| Entity Type | Organization |
| Organization Name | CLARKSVILLE HEALTH SYSTEM GP |
| Other Organization Name | GATEWAY HEALTH SYSTEM |
| Practice Address |
1760 Madison St Clarksville TN 37043-4913 |
| Mailing Address |
Po Box 403765 Atlanta GA 30384-3765 |
| Practice Telephone | 9315526622 |
| Practice Fax Number | 9315511027 |
| Mailing Telephone | 9315526622 |
| Mailing Fax Number | 9315511027 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2008-03-07 |
| Authorized Official Name | LAURIE HOLTSFORD (DIRECTOR OF BUSINESS OFFICE SUPPORT) |
| Authorized Official Telephone | 6154657000 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLARKSVILLE HEALTH SYSTEM GP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0000000623 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1454419 | 05 |
| Other Name | Type Code |
|---|---|
| Gateway Health System | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671718 | Clarksville Health System Gp | Medicare Defined Swing Bed Unit | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2020-05-21 |
| 1952581761 | Clarksville Health System Gp | Hospitalist | 1771 Madison Street, Clarksville, TN 37043-4990 | 2007-11-08 |
| 1003823097 | Clarksville Health System Gp | Psychiatry & Neurology | 1771 Madison St, Clarksville, TN 37043-4990 | 2006-08-02 |
| 1659326700 | Clarksville Health System Gp | Rehabilitation Unit | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2006-05-24 |
| 1285689794 | Clarksville Health System Gp | Clinic/Center | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2006-05-23 |
| Street Address |
1760 MADISON ST |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-4913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| 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 |
|---|---|---|---|---|
| 1093287328 | Publix Tennessee, LLC | Durable Medical Equipment & Medical Supplies | 920 Highway 76, Clarksville, TN 37043-8456 | 2018-12-27 |
| 1346741642 | Maryland Cvs Pharamcy LLC | Durable Medical Equipment & Medical Supplies | 6383 Ten Oaks Road, Clarksville, MD 21029-1104 | 2018-02-22 |
| 1457884678 | Home Care Delivered, Inc. | Durable Medical Equipment & Medical Supplies | 71 Commerce Dr, Clarksville, VA 23927-2955 | 2017-04-05 |
| 1013450279 | Better Life Medical Supplies & Equipment | Durable Medical Equipment & Medical Supplies | 1301 Fort Campbell Blvd, B, Clarksville, TN 37042-4076 | 2016-11-21 |
| 1386096402 | Donna Barry | Durable Medical Equipment & Medical Supplies | 213 Mill Creek Rd, Clarksville, TN 37042-5950 | 2016-07-13 |
| 1720447931 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 1404 Blackiston Mill Rd, Clarksville, IN 47129-2288 | 2016-02-16 |
| 1134501265 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 408 Tiny Town Rd, Clarksville, TN 37042-5642 | 2015-06-25 |
| 1598145559 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 216 Dover Rd, Clarksville, TN 37042-4156 | 2015-06-04 |
| 1932587045 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2551 Whitfield Rd, Clarksville, TN 37040-7500 | 2015-05-08 |
| 1003155524 | Chris Freeman | Durable Medical Equipment & Medical Supplies | 2 Trison Ln, Clarksville, AR 72830-8003 | 2013-02-04 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
Please comment or provide details below to improve the information on CLARKSVILLE HEALTH SYSTEM GP.
| 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.