OCOEE REGIONAL HEALTH CORPORATION (NPI# 1245442169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245442169 |
| Entity Type | Organization |
| Organization Name | OCOEE REGIONAL HEALTH CORPORATION |
| Other Organization Name | CLEVELAND FAMILY HEALTH CARE CENTER |
| Practice Address |
1420 Fritz St Se Cleveland TN 37323-6009 |
| Practice Telephone | 4234781970 |
| Practice Fax Number | 4236145270 |
| Mailing Telephone | 4234781970 |
| Mailing Fax Number | 4236145270 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | MR. WILLIAM R MOATS (CEO) |
| Authorized Official Telephone | 4233388995 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cleveland Family Health Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265645204 | Ocoee Regional Health Corporation | Clinic/Center | 3625 Us 127, Pikeville, TN 37367 | 2007-05-07 |
| 1356553267 | Ocoee Regional Health Corporation | Clinic/Center | 8850 Rhea County Highway, Dayton, TN 37321-1036 | 2007-05-04 |
| 1619181484 | Ocoee Regional Health Corporation | Clinic/Center | 6784 Highway 411, Benton, TN 37307-4818 | 2007-05-10 |
| 1902010770 | Ocoee Regional Health Corporation | Clinic/Center | Highway 108, Palmer, TN 37365 | 2007-05-10 |
| 1386857381 | Ocoee Regional Health Corporation | Clinic/Center | 6784 Highway 411, Benton, TN 37307-0308 | 2007-05-07 |
| 1760694665 | Ocoee Regional Health Corporation | Clinic/Center | 305 River Rd, Decatur, TN 37322-7801 | 2007-05-04 |
| Street Address |
1420 FRITZ ST SE |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37323-6009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487134482 | Kristy Alese Henegar | Nurse Practitioner | 1420 Fritz St Se, Cleveland, TN 37323 | 2018-08-19 |
| 1265850796 | Andrea Michelle Keith | Nurse Practitioner | 1420 Fritz St Se, Cleveland, TN 37323-6009 | 2014-04-02 |
| 1568705812 | Linda Pam Morris | Nurse Practitioner | 1420 Fritz St Se, Cleveland, TN 37323-6009 | 2013-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477066082 | Quadmed Medical Clinics of Wisconsin, S.c. D/b/a Quadmed Medical Group | Registered Nurse | 2525 Benton Pike Ne, Cleveland, TN 37323 | 2017-11-06 |
| 1679877518 | Life Bridges, Inc. | Intermediate Care Facility, Mentally Retarded | 207 Kile Lake Road, Cleveland, TN 37323 | 2011-01-07 |
| 1376847251 | Life Bridges, Inc. | Intermediate Care Facility, Mentally Retarded | 209 Kile Lake Road, Cleveland, TN 37323 | 2011-01-06 |
| 1508084302 | Karen Elizabeth Gannon | Nurse Practitioner | 11111 Doctor's Office Tower, 2200 Children's Way, Nashville, TN 37323 | 2007-04-24 |
| 1235353566 | Melissa D Townsend | Specialist/Technologist, Other | 120 Fern Drive, Cleveland, TN 37323 | 2007-04-11 |
| 1306965686 | David Wayne Miolen | Dentist | 2648 Apd 40, Cleveland, TN 37323 | 2007-03-28 |
| 1780751933 | Linda Fay Wooten | Driver | 2259 Spring Place Rd Se, Cleveland, TN 37323 | 2006-11-30 |
| 1417577537 | Eduardo Trevino | Family Medicine | 3009 Midfield Cir Se, Cleveland, TN 37323-0554 | 2020-04-18 |
| 1831339589 | Lyle Foster Johnson | Occupational Therapy Assistant | 2657 Apd 40, Cleveland, TN 37323-0696 | 2009-02-20 |
| 1255434965 | Tennessee Cvs Pharmacy LLC | Pharmacy | 2651 Apd 40, S Forke Plaza, Cleveland, TN 37323-0696 | 2006-09-07 |
| Find all providers in zip 37323 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286011 | Asian Services In Action, Inc | Clinic/Center | 2999 Payne Ave, Ste 140, Cleveland, OH 44114 | 2019-10-15 |
| 1891287439 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 10505 Saint Clair Ave Ste 101, Cleveland, OH 44108-1973 | 2018-05-30 |
| 1306268677 | Neighborhood Health Care Incorporated | Clinic/Center | 14037 Puritas Ave, Suite A and D, Cleveland, OH 44135-2841 | 2014-01-06 |
| 1114275310 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 15320 Euclid Ave, Cleveland, OH 44112-2806 | 2012-08-17 |
| 1386905644 | Care Alliance | Clinic/Center | 1701 Payne Ave, Cleveland, OH 44114-2909 | 2012-06-04 |
| 1447511787 | Care Alliance | Clinic/Center | 5005 Euclid Ave, Cleveland, OH 44103-3745 | 2012-06-04 |
| 1386905628 | Care Alliance | Clinic/Center | 5310 Carnegie Ave, Cleveland, OH 44103-4360 | 2012-06-04 |
| 1730440074 | Care Alliance | Clinic/Center | 2100 Lakeside Ave E, Cleveland, OH 44114-1126 | 2012-06-04 |
| 1780942656 | Care Alliance | Clinic/Center | 4241 Lorain Ave, Cleveland, OH 44113-3720 | 2012-04-30 |
| 1831457712 | Care Alliance | Clinic/Center | 2227 Payne Ave, Cleveland, OH 44114-4424 | 2012-04-27 |
| Find all providers in CLEVELAND | ||||
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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.