LIVE WELL MEDICAL CLINIC & SPA (NPI# 1902208903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902208903 |
| Entity Type | Organization |
| Organization Name | LIVE WELL MEDICAL CLINIC & SPA |
| Practice Address |
117 W Commercial Ave Monterey TN 38574-1107 |
| Practice Telephone | 9318396642 |
| Practice Fax Number | 9318396643 |
| Mailing Telephone | (931) 839-6642 |
| Mailing Fax Number | 9318396643 |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2017-05-23 |
| Authorized Official Name | BRENDA LEE MCINTOSH (OWNER) |
| Authorized Official Telephone | 9318396642 |
| Authorized Official Credential | FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q007973 | 05 |
| Street Address |
117 W COMMERCIAL AVE |
| City | MONTEREY |
| State | TN |
| Zip Code | 38574-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912996067 | Putnam County Rural Health Clinic, Inc | Clinic/Center | 117 W Commercial Ave, Monterey, TN 38574-1107 | 2005-10-20 |
| 1477863231 | Brenda Lee Mcintosh | Nurse Practitioner | 117 W Commercial Ave, Monterey, TN 38574-1107 | 2010-10-14 |
| 1467667592 | Putnam County Rural Health Clinic | Legal Medicine | 117 W Commercial Ave, Monterey, TN 38574-1107 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407012891 | Robert Crombie Hall | Ophthalmology | 1536 E. Overlook Rd., Monterey, TN 38574 | 2008-08-05 |
| 1164606356 | Manish Rana | Dentist | 400 West Crawford Avenue, Suite C, Montery Dental Center, Monterey, TN 38574 | 2007-12-24 |
| 1497877583 | Mark Anthony Sherfey | Internal Medicine | 4355 Hanging Lamb Hwy, Monterey, TN 38574 | 2007-04-06 |
| 1790814457 | Ree Rene Smith | Nurse Practitioner | 1021 East Commercial Avenue, Monterey, TN 38574 | 2007-03-05 |
| 1144217803 | Charles Gray Smith | Family Medicine | 400 W Crawford Ave, Monterey, TN 38574 | 2005-09-28 |
| 1902150030 | Freds Stores of Tennessee Inc | Pharmacy | 250 E. Stratton Ave., Monterey, TN 38574-1107 | 2012-10-26 |
| 1265580815 | Bishop Drugs, Inc. | Durable Medical Equipment & Medical Supplies | 101 W Commercial Ave, Monterey, TN 38574-1107 | 2007-01-08 |
| 1437525185 | Clifton Bishop | Pharmacist | 101 W Commercial Ave, Monterey, TN 38574-1107 | 2015-08-17 |
| 1326027798 | Hqm of Monterey, LLC | Nursing Facility/Intermediate Care Facility | 410 W Crawford Ave, Monterey, TN 38574-1122 | 2006-01-12 |
| 1033594528 | Joseph J Baco | Physical Therapist | 410 W Crawford Ave, Monterey, TN 38574-1122 | 2015-07-24 |
| Find all providers in zip 38574 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
| 1154888568 | Ian Atkinson, M.d., Inc., A Professional Corporation | Clinic/Center | 484 Washington St Ste B120, Monterey, CA 93940-3050 | 2019-02-22 |
| 1053581850 | Monterey Peninsula College | Clinic/Center | 980 Fremont St, Monterey, CA 93940-4704 | 2008-03-07 |
| 1952599425 | Hailey Chiropractic | Clinic/Center | 82 Wilson Ave, Monterey, VA 24465 | 2007-10-10 |
| 1619593043 | Paladina Health, LLC | Clinic/Center | 2 Lower Ragsdale Dr Ste 260, Monterey, CA 93940-5748 | 2020-06-22 |
| 1356613749 | Brunke Chiropractic Corporation | Clinic/Center | 205 Montecito Ave, Monterey, CA 93940-3910 | 2012-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669081477 | Mint Edition Wellness Center | Clinic/Center | 1400 N Mount Juliet Rd Ste 104, Mount Juliet, TN 37122-1508 | 2020-07-28 |
| 1538777024 | Tri-k Health LLC | Clinic/Center | 525 Cherokee Blvd Ste 5, Chattanooga, TN 37405-3865 | 2020-07-21 |
| 1457976714 | Blue Light Therapies LLC | Clinic/Center | 421 E Royal Ln Suite 100, Irving, TN 75039 | 2020-06-12 |
| 1174147870 | Freedom Medical Services Pllc | Clinic/Center | 1203 Laurel Springs Way, Signal Mountain, TN 37377-1445 | 2020-05-29 |
| 1023630019 | Daya Medicals, Inc. | Clinic/Center | 460 S Highland St, Memphis, TN 38111-4302 | 2020-05-12 |
| 1518421148 | Paramount Solutions Clinic & Laboratory Testing | Clinic/Center | 2010 Church St Ste 624, Nashville, TN 37203-2075 | 2019-01-28 |
| 1982180113 | Abundant Healthcare Clinic LLC | Clinic/Center | 130 Serral Dr, Greeneville, TN 37745-3074 | 2018-07-11 |
| 1649776691 | Serious Health Services | Clinic/Center | 715 Cherry St Ste 207, Chattanooga, TN 37402-1929 | 2018-03-30 |
| 1124523287 | Hands of Health and Rehab | Clinic/Center | 80 N. Tillman St. Ste. 104, Memphis, TN 38111 | 2018-03-29 |
| 1205377348 | Southeastern Swallowing Diagnostics | Clinic/Center | 8459 Lexie Ln, Ooltewah, TN 37363-5796 | 2017-03-08 |
| 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.