CROCKETT MEDICAL CLINIC INC


Address: 58 S. Bells St, Alamo, TN 38001
Phone: 7316965401

CROCKETT MEDICAL CLINIC INC (NPI# 1104839703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104839703
Entity Type Organization
Organization Name CROCKETT MEDICAL CLINIC INC
Practice Address 58 S. Bells St
Alamo
TN 38001
Practice Telephone 7316965401
Practice Fax Number 7316965404
Mailing Telephone 7316965401
Mailing Fax Number 7316965404
Enumeration Date 2006-08-14
Last Update Date 2019-07-02
Authorized Official Name MR. CHARLES RICHARD JERMAN III (CFO)
Authorized Official Telephone 7316964670
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TN PTAN 3717707 01
TN 3717707 05

Office Location

Street Address 58 S. BELLS ST
City ALAMO
State TN
Zip Code 38001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902819501 Karen B Webb Nurse Practitioner 58 S. Bells St, Alamo, TN 38001 2006-08-14
1548569700 Kristin Lea Byrd Nurse Practitioner 58 S. Bells St, Alamo, TN 38001 2011-03-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649637281 Megan Chapman Nurse Practitioner 18 N Cavalier Dr., Alamo, TN 38001 2016-01-27
1295906378 Lori Faye Laman Nurse Practitioner 58 S. Bells St., Alamo, TN 38001 2008-03-17
1124234380 Firstcare Medical Center, PC Internal Medicine 281-4 Climer Loop Road, Alamo, TN 38001 2007-05-15
1134264450 State of Tennessee Public Health or Welfare 209 N Bells Street, Alamo, TN 38001 2007-02-21
1629154661 Melvin Roy York Pharmacist 8 N. Cavalier Drive, Alamo, TN 38001 2006-10-31
1659384253 Raymond Wayne Rhear Family Medicine 59 S. Bells St, Alamo, TN 38001 2006-08-14
1497807119 Crockett County Nursing Home, Inc. Skilled Nursing Facility 580 West Main Street, Alamo, TN 38001-0367 2007-01-16
1790094795 Shey Manning Whitby Pharmacist 1200 W Church St, Alamo, TN 38001-1320 2010-09-25
1467649624 Freds Stores of Tennessee Inc Durable Medical Equipment & Medical Supplies 1104 W Church St, Alamo, TN 38001-1321 2007-10-01
1881100733 Jeffrey Neal Nolen Physical Therapist 83 N Nance St, Alamo, TN 38001-1420 2017-12-14
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861412777 Alamo Navajo School Board, Inc. Clinic/Center Milepost 29, Highway 169, Alamo, NM 87825 2006-07-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780281527 Braxton Medical Clinic, LLC Clinic/Center 1410 Kensington Square Ct Ste 103, Murfreesboro, TN 37130-6902 2020-10-05
1629689674 Saint Thomas Medical Partners Clinic/Center 220 West Jefferson Pike, Murfreesboro, TN 37129 2020-08-13
1700411592 Fentress Family Care LLC Clinic/Center 1010 Old Highway 127 S, Jamestown, TN 38556-5648 2020-03-11
1831724822 Guiding Star Memphis Clinic/Center 2980 Poplar Ave Ste 101, Memphis, TN 38111-3527 2020-03-10
1407486764 Elijahs Dream Compassionate Care Clinic/Center 134 Creekside Dr Ste 1, Ocoee, TN 37361-3653 2020-01-24
1518506542 Faith Medical Group, Pllc Clinic/Center 500 Mcfarland St Ste E, Morristown, TN 37814-3992 2019-12-20
1366080582 Matthew E. Schantz, M.d. Clinic/Center 206 S Military St Ste 1, Loretto, TN 38469-2101 2019-12-18
1114563749 Step One Medical Associates PC Clinic/Center 4502 Bristol Hwy, Johnson City, TN 37601-2936 2019-11-19
1023665403 Elite Healthcare, LLC Clinic/Center 117 N 3rd St, Kingston, TN 37763-2842 2019-08-21
1083266381 Get Into Shape Md Clinic/Center 5803 Lee Hwy Ste 101, Chattanooga, TN 37421-3547 2019-07-16
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Competitor

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City ALAMO
Zip Code 38001

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Dataset Information

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.

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