CLARKSVILLE LIMB & BRACE & REHAB., INC. (NPI# 1215932801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215932801 |
| Entity Type | Organization |
| Organization Name | CLARKSVILLE LIMB & BRACE & REHAB., INC. |
| Other Organization Name | RUSSELLVILLE ORTHOTICS & PROSTHETICS |
| Practice Address |
230 S Franklin St Russellville KY 42276-1937 |
| Mailing Address |
1816 Memorial Cir Clarksville TN 37043-4539 |
| Practice Telephone | 2707261200 |
| Practice Fax Number | 2707268644 |
| Mailing Telephone | 9316482155 |
| Mailing Fax Number | 9316474952 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2008-07-24 |
| Authorized Official Name | MS. JUDY LYNN FARRIS (OFFICE MANAGER) |
| Authorized Official Telephone | 9316482155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 90262569 | 05 | |
| KY | ANTHEM | 000000070507 | 01 |
| Other Name | Type Code |
|---|---|
| Russellville Orthotics & Prosthetics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881307 | Clarksville Limb & Brace & Rehab., Inc. | Specialist | 4288 N Jackson Hwy, Glasgow, KY 42141-9020 | 2005-06-20 |
| 1275538860 | Clarksville Limb & Brace & Rehab., Inc. | Specialist | 165 Natchez Trace, Ste. 202, Bowling Green, KY 42103 | 2005-06-20 |
| 1932104510 | Clarksville Limb & Brace & Rehab., Inc. | Specialist | 980 Professional Park Dr, Suite B, Clarksville, TN 37040-4539 | 2005-06-20 |
| Street Address |
230 S FRANKLIN ST |
| City | RUSSELLVILLE |
| State | KY |
| Zip Code | 42276-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497302723 | Community Health Centers of Western Kentucky Inc | Family Medicine | 1497 Nashville Road, Russellville, KY 42276 | 2019-08-21 |
| 1104471911 | Lashawnda Lee | Nurse Practitioner | 60 Shelton Lane, Russellville, KY 42276 | 2019-08-08 |
| 1003940867 | Russellville Ind. Schools | Local Education Agency (LEA) | 355 S Seminary St, Russellville, KY 42276 | 2007-03-15 |
| 1083756217 | Robert Ellis Allison | Dentist | 248 East 5th Street, Russellville, KY 42276 | 2007-02-13 |
| 1578602033 | Acsr, Inc. | Clinic/Center | 3239 Lewisburg Rd, Russellville, KY 42276 | 2007-02-05 |
| 1568535250 | David Guion | Pharmacist | 153 Park Square Nw, Russellville, KY 42276 | 2006-11-17 |
| 1144339177 | Dale Woodall Clark | Dentist | 204 East Fourth St, Russellville, KY 42276 | 2006-08-30 |
| 1033120662 | Darla Sherrod Barrow | Optometrist | 709 East 4th St, Russellville, KY 42276 | 2006-08-10 |
| 1265405005 | Varsha Humble | Pediatrics | 1497 Nashville St, Russellville, KY 42276 | 2006-02-10 |
| 1235139247 | Darla Sherrod Barrow | Optometrist | 709 East 4th Street, Russellville, KY 42276 | 2005-08-01 |
| Find all providers in zip 42276 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083797468 | Joann C Hays | Specialist | 1704 W C Pl, Russellville, AR 72801-2773 | 2006-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678701 | Tywahneikai Lashae Bailey | Specialist | 673 Knox Blvd Ste C, Radcliff, KY 40160-1568 | 2019-09-16 |
| 1679057822 | Melanie Higgins- Day | Specialist | 121 Malabu Dr Ste 4, Lexington, KY 40503-3143 | 2018-09-23 |
| 1528552528 | Nachell Tashae Beeler | Specialist | 126 N 42nd St, Louisville, KY 40212-2606 | 2018-06-21 |
| 1982101549 | Soyini Edwards | Specialist | 2780d New Holt Rd Ste 370, Paducah, KY 42001-7436 | 2018-04-10 |
| 1669974168 | Danielle Mack | Specialist | 4611 Peachtree Ave, Louisville, KY 40215-2442 | 2018-03-01 |
| 1568880037 | All About Your Hair LLC | Specialist | 7828 Westbrook Rd, Louisville, KY 40258 | 2014-04-02 |
| 1720404593 | Kahndra Chauntay Franklin | Specialist | 952 Winchester Rd, Suite 120, Lexington, KY 40505 | 2014-03-17 |
| 1821313255 | Pamela Lee | Specialist | 752 Runaway Dr, Fountain Run, KY 42133-8539 | 2010-03-29 |
| 1073846127 | Sherman G Dudley | Specialist | 119 Nancy Cox Dr, Suite 2, Campbellsville, KY 42718-6832 | 2009-09-08 |
| 1376790998 | Mary Justine Parrott-allen | Specialist | 115 Central Plaza Shopping Center, Campbellsville, KY 42718-1595 | 2008-08-26 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELLVILLE |
| Zip Code | 42276 |
Please comment or provide details below to improve the information on CLARKSVILLE LIMB & BRACE & REHAB., INC..
| 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.