OCOEE REGIONAL HEALTH CORPORATION (NPI# 1902010770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902010770 |
| Entity Type | Organization |
| Organization Name | OCOEE REGIONAL HEALTH CORPORATION |
| Other Organization Name | GRUNDY COUNTY PRIMARY CARE CENTER |
| Practice Address |
Highway 108 Palmer TN 37365 |
| Mailing Address |
Po Box 70 Palmer TN 37365-0070 |
| Practice Telephone | 9317794002 |
| Practice Fax Number | 9317794003 |
| Mailing Telephone | 9317794002 |
| Mailing Fax Number | 9317794003 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-10-03 |
| Authorized Official Name | MR. BILL R MOATS (CEO) |
| Authorized Official Telephone | 4233388995 |
| Is Organization Subpart | N |
| 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 |
|---|---|
| Grundy County Primary Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265645204 | Ocoee Regional Health Corporation | Clinic/Center | 3625 Us 127, Pikeville, TN 37367 | 2007-05-07 |
| 1245442169 | Ocoee Regional Health Corporation | Clinic/Center | 1420 Fritz St Se, Cleveland, TN 37323-6009 | 2007-05-04 |
| 1356553267 | Ocoee Regional Health Corporation | Clinic/Center | 8850 Rhea County Highway, Dayton, TN 37321-1036 | 2007-05-04 |
| 1619181484 | Ocoee Regional Health Corporation | Clinic/Center | 6784 Highway 411, Benton, TN 37307-4818 | 2007-05-10 |
| 1386857381 | Ocoee Regional Health Corporation | Clinic/Center | 6784 Highway 411, Benton, TN 37307-0308 | 2007-05-07 |
| 1760694665 | Ocoee Regional Health Corporation | Clinic/Center | 305 River Rd, Decatur, TN 37322-7801 | 2007-05-04 |
| Street Address |
HIGHWAY 108 |
| City | PALMER |
| State | TN |
| Zip Code | 37365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225102551 | Kim Darlene Taylor | Family Medicine | Highway 108, Palmer, TN 37365 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225187321 | Palmer Drugs LLC | Pharmacy | 571 Main St, Palmer, TN 37365 | 2007-01-09 |
| 1669926275 | Aubrey Nunley | Pharmacist | 571 Main St, Palmer, TN 37365-2531 | 2016-08-11 |
| 1174077788 | Debbie Pancake | Pharmacist | 571 Main St, Palmer, TN 37365-2531 | 2016-08-11 |
| 1992259287 | Jamie Lynn Hunt | Pharmacist | 571 Main St, Palmer, TN 37365-2531 | 2016-08-04 |
| 1568866564 | Palmer Drug, LLC | Durable Medical Equipment & Medical Supplies | 571 Main St, Palmer, TN 37365-2531 | 2014-10-20 |
| 1730115478 | Vin Paul Hua | General Practice | 2578 Main St, Palmer Clinic, Palmer, TN 37365-2730 | 2006-06-24 |
| 1194268938 | John C Mckeown Md | Family Medicine | 2578 Main St, Palmer, TN 37365-2730 | 2016-11-28 |
| 1497126700 | John C Mckeown, Md | Family Medicine | 2578 Main St, Palmer, TN 37365-2730 | 2015-10-13 |
| 1962743054 | Amg-southern Tennessee LLC | Clinic/Center | 2578 Main St, Palmer, TN 37365-2730 | 2013-03-14 |
| 1477855112 | Amg Southern Tn, LLC | Family Medicine | 2578 Main St, Palmer, TN 37365-2730 | 2010-12-01 |
| Find all providers in zip 37365 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 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.