SPRING CITY WALK IN MEDICAL CENTER, LLC (NPI# 1063433704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063433704 |
| Entity Type | Organization |
| Organization Name | SPRING CITY WALK IN MEDICAL CENTER, LLC |
| Practice Address |
126 Lavender St Spring City TN 37381-5102 |
| Mailing Address |
Po Box 709 Spring City TN 37381-0709 |
| Practice Telephone | 4234529984 |
| Practice Fax Number | 4234529980 |
| Mailing Telephone | 4234529984 |
| Mailing Fax Number | 4234529980 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-04-23 |
| Authorized Official Name | DORIS ELIZABETH YOUNG (OFFICE MANAGER) |
| Authorized Official Telephone | 4234529984 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 24140 | TN | Allopathic & Osteopathic Physicians |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
44-3943 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RURAL HEALTH CLINIC | 443943 | 01 |
| Street Address |
126 LAVENDER ST |
| City | SPRING CITY |
| State | TN |
| Zip Code | 37381-5102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801382635 | Kristen Leger | Nurse Practitioner | 126 Lavender St, Spring City, TN 37381-5102 | 2018-07-04 |
| 1134626625 | Lindsay Michaela Hicks | Nurse Practitioner | 126 Lavender St, Spring City, TN 37381-5102 | 2018-04-10 |
| 1245314715 | Joseph S Sears | Family Medicine | 126 Lavender St, Spring City, TN 37381-5102 | 2006-10-24 |
| 1659375277 | Robert Earl Wilson | Family Medicine | 126 Lavender St, Spring City, TN 37381-5102 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205480761 | Stephen Levi Moffett | Specialist/Technologist | 5199 Wolf Creek Rd., Spring City, TN 37381 | 2019-08-01 |
| 1255344560 | Spring City Pharmacy Inc | Pharmacy | 171 Clinton Ave, Spring City, TN 37381 | 2006-08-15 |
| 1689613978 | Jimmy D Tutor | Pharmacist | Spring City Pharmacy Inc 141 East Clinton Ave, Unit 4, Spring City, TN 37381 | 2006-06-05 |
| 1457489080 | Rhonda S Gross | Technician/Technologist | 473 Front St, Spring City, TN 37381 | 2007-03-02 |
| 1538279302 | Bertram Edward Lenoir IIi | Dentist | 207 W Rhoa Ave, Spring City, TN 37381-0399 | 2006-08-30 |
| 1053512988 | Amy Elizabeth Fox | Occupational Therapist | 269 Creek Rd, Spring City, TN 37381-2637 | 2007-05-29 |
| 1558444166 | Stacy J Spurlin | Physical Therapy Assistant | 569 Lakewood Village Rd, Spring City, TN 37381-3712 | 2006-10-24 |
| 1720096159 | Beth Ann Casady | Family Medicine | 225 Clinton Ave, Spring City, TN 37381-4010 | 2006-08-03 |
| 1326379751 | Elizabeth Ann Deleonardis | Physician Assistant | 225 Clinton Ave, Spring City, TN 37381-4010 | 2010-01-25 |
| 1528218146 | Glenda M Keylon | Pharmacist | 141 Clinton Ave Unit 4, Spring City, TN 37381-4037 | 2008-09-19 |
| Find all providers in zip 37381 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631454 | Spring City Family Clinic Pllc | Clinic/Center | 126 Lavender St Ste 2, Spring City, TN 37381-5102 | 2020-05-20 |
| 1508498577 | Rhea Medical Center | Clinic/Center | 22024 Rhea County Hwy, Spring City, TN 37381-5243 | 2020-02-07 |
| 1639628860 | Rhea Medical Center | Clinic/Center | 22576 Rhea County Hwy, Spring City, TN 37381-5393 | 2016-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275317 | Henry County Medical Center | Clinic/Center | 300 Hospital Cir Ste 204, Paris, TN 38242-4597 | 2020-08-14 |
| 1447861562 | Henry County Medical Center | Clinic/Center | 14201 Highway 79 N Unit 4, Buchanan, TN 38222-4183 | 2020-08-12 |
| 1003425224 | Dickson Medical Associate, PC | Clinic/Center | 127 Crestview Park Dr Ste 205, Dickson, TN 37055-2856 | 2020-07-23 |
| 1871001271 | Shelbyville Hospital Company LLC | Clinic/Center | 1330 Cedar Ln Ste 100, Tullahoma, TN 37388-2284 | 2018-01-19 |
| 1720596125 | Shelbyville Hospital Company LLC | Clinic/Center | 1440 Cedar Ln Unit 100, Tullahoma, TN 37388-2262 | 2018-01-19 |
| 1548788458 | Shelbyville Hospital Company LLC | Clinic/Center | 1612 N Main St Ste A, Shelbyville, TN 37160-2392 | 2017-08-31 |
| 1063938520 | Mid-south Convenient Care, Pllc | Clinic/Center | 1445 Us Highway 51 Byp E Ste B, Dyersburg, TN 38024-2127 | 2017-08-16 |
| 1871034462 | Martin Health | Clinic/Center | 143 Kennedy Drive, Martin, TN 38237-3309 | 2017-03-15 |
| 1881135895 | Humboldt Family Walk-in Clinic LLC | Clinic/Center | 1600 Coleman Dr, Humboldt, TN 38343-1756 | 2017-03-10 |
| 1568905925 | Wellmont Health System | Clinic/Center | 1519 Main Street, Sneedville, TN 37869 | 2016-12-02 |
| Find all providers with the same taxonomy | ||||
| City | SPRING CITY |
| Zip Code | 37381 |
Please comment or provide details below to improve the information on SPRING CITY WALK IN MEDICAL CENTER, LLC.
| 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.