BAPTIST PRIMARY & SENIOR HEALTHCARE CLINIC JEFFERSON CITY (NPI# 1962637231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962637231 |
| Entity Type | Organization |
| Organization Name | BAPTIST PRIMARY & SENIOR HEALTHCARE CLINIC JEFFERSON CITY |
| Practice Address |
1413 Russell Ave Jefferson City TN 37760-2562 |
| Practice Telephone | 8654710314 |
| Practice Fax Number | 8654753834 |
| Mailing Telephone | 8654710314 |
| Mailing Fax Number | 8654753834 |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2010-02-05 |
| Authorized Official Name | SUSANNE NELMS (PRACTICE ADMINISTRATOR/DIRECTOR) |
| Authorized Official Telephone | 8655494892 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY PHYSICIANS SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
1413 RUSSELL AVE |
| City | JEFFERSON CITY |
| State | TN |
| Zip Code | 37760-2562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114909538 | Betty Jo Ellington | Nurse Practitioner | 1413 Russell Ave, Jefferson City, TN 37760-2562 | 2005-11-20 |
| 1083923197 | University Health System, Inc | Internal Medicine | 1413 Russell Ave, Jefferson City, TN 37760-2562 | 2010-10-07 |
| 1851364186 | Jefferson City Senior Center | Clinic/Center | 1413 Russell Ave, Jefferson City, TN 37760-2562 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
| 1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
| 1801259940 | Mcfarland Group, Inc. | Durable Medical Equipment & Medical Supplies | 665 E Broadway Blvd, Jefferson City, TN 37760 | 2016-04-04 |
| 1124422266 | Penny Williams-cordeiro | Nurse Practitioner | 1901 Brookside Drive, Suite 105, Kingsport, TN 37760 | 2014-10-17 |
| 1215363841 | Lindsey Ann Clyde | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2013-09-14 |
| 1679849814 | Allison Renee Farris | Surgery | 120 Hospital Dr Ste G20, Jefferson City, TN 37760 | 2012-03-31 |
| 1245562891 | Steven Jarvis Monroe | Dentist | 156 W. Broadway Blvd., Jefferson City, TN 37760 | 2010-02-08 |
| 1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
| 1780756189 | Steven J Monroe Dds PC | Dentist | 156 W Broadway Blvd, Jefferson City, TN 37760 | 2006-11-14 |
| 1720188600 | Dennis U Spjut | Psychologist | 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 | 2006-09-22 |
| Find all providers in zip 37760 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396782587 | Ssm Regional Health Services | Clinic/Center | 3348 American Ave, Jefferson City, MO 65109-1079 | 2006-05-31 |
| 1366865263 | Align Chiropractic Clinic LLC | Clinic/Center | 1002 Diamond Rdg, Suite 200, Jefferson City, MO 65109-6896 | 2014-01-28 |
| 1487961173 | Mountain View Pediatrics and Internal Medicine | Clinic/Center | 657 E Broadway Blvd, Jefferson City, TN 37760-4948 | 2010-09-02 |
| 1588979900 | Capital Region Medical Center | Clinic/Center | 1616 Southridge Dr, Suite 203, Jefferson City, MO 65109-5677 | 2010-08-10 |
| 1770804734 | Capital Region Medical Center | Clinic/Center | 1125 Madison St, Jefferson City, MO 65101-5227 | 2010-06-14 |
| 1942528930 | Jefferson Pulmonary Group | Clinic/Center | 120 Hospital Dr Ste 220, Jefferson City, TN 37760-5286 | 2010-05-14 |
| 1740415025 | Jefferson Hearts Consultants | Clinic/Center | 120 Hospital Dr, Suite 250, Jefferson City, TN 37760-5287 | 2009-05-15 |
| 1467597872 | Family Counseling Center of Missouri Inc | Clinic/Center | 204 Metro Dr, Suite B, Jefferson City, MO 65109-4408 | 2007-02-21 |
| 1679510861 | Ssm Regional Health Services | Clinic/Center | 200 Saint Marys Plz, Suite 201, Jefferson City, MO 65101-1604 | 2006-05-31 |
| 1649217837 | Ssm Regional Health Services | Clinic/Center | 2505 Mission Dr, Suite 310, Jefferson City, MO 65109-9508 | 2006-05-31 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 37760 |
Please comment or provide details below to improve the information on BAPTIST PRIMARY & SENIOR HEALTHCARE CLINIC JEFFERSON CITY.
| 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.