MATTHEW WALKER COMPREHENSIVE HEALTH CENTER, INC


Address: 1700 17th Avenue North, Fisk Unvieristy Shane Hall, Nashville, TN 37208
Phone: 6153279400

MATTHEW WALKER COMPREHENSIVE HEALTH CENTER, INC (NPI# 1255658480) 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) 1255658480
Entity Type Organization
Organization Name MATTHEW WALKER COMPREHENSIVE HEALTH CENTER, INC
Practice Address 1700 17th Avenue North
Fisk Unvieristy Shane Hall
Nashville
TN 37208
Mailing Address 1035 14th Ave N
Nashville
TN 37208-3050
Practice Telephone 6153279400
Practice Fax Number 6153272806
Mailing Telephone 6153401292
Mailing Fax Number 6153272806
Enumeration Date 2010-04-28
Last Update Date 2010-04-28
Authorized Official Name MR. JEFFREY MCKISSACK (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 6153401292
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TN 3340187 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1104008747 Matthew Walker Comprehensive Health Center, Inc Clinic/Center 230 Dover Rd, Clarksville, TN 37042-4183 2007-12-05
1174839781 Matthew Walker Comprehensive Health Center, Inc Clinic/Center 739 President Pl, Suite 100, Smyrna, TN 37167-6844 2010-08-20
1356405278 Matthew Walker Comprehensive Health Center, Inc Clinic/Center 1035 14th Ave N, Nashville, TN 37208 2006-12-22

Office Location

Street Address 1700 17TH AVENUE NORTH
FISK UNVIERISTY SHANE HALL
City NASHVILLE
State TN
Zip Code 37208

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679199210 Michele M Collins Student in an Organized Health Care Education/Training Program 1005 Dr D B Todd Jr, 3rd Floor Gpr Clinic, Nashville, TN 37208 2020-06-19
1730700105 Prince Eleeh Student in an Organized Health Care Education/Training Program Department of Psychiatry, Meharry Medical College, 1005 Dr. D. B. Todd, Jr. Blvd., Nashville, TN 37208 2020-04-27
1750900411 James Curtis Roberson IIi Student in an Organized Health Care Education/Training Program 1005 Dr. D.b. Todd Jr, Boulevard, Nashville, TN 37208 2020-04-13
1184252322 Sandip Chaugai Student in an Organized Health Care Education/Training Program 1005 Dr. D. B. Todd, Jr. Blvd, Nashville, TN 37208 2020-04-01
1366070542 Bukola Adeyinka Olagbende Student in an Organized Health Care Education/Training Program 1005 Dr. D.b. Todd, Jr. Blvd, Nashville, Tn, Nashville, TN 37208 2020-04-01
1821651704 Vielka Oglivie Social Worker 1005 Dr. D.b. Todd, Jr Blvd, Nashville, TN 37208 2019-04-17
1154882702 Ajua Fondong Azingala Student in an Organized Health Care Education/Training Program 1005 Dr D B Todd Jr. Blvd, Nashville, TN 37208 2019-03-27
1437619749 Dockmias Kassahun Demeke Student in an Organized Health Care Education/Training Program 1005 Dr D.b. Todd Jr Boulevard, Nashville, TN 37208 2019-03-22
1225598717 Ekemini Ima Orok Student in an Organized Health Care Education/Training Program 1005 Dr. D. B. Todd Jr., Blvd., Nashville, TN 37208 2019-03-21
1861952608 Andrea Giselle Lozano Student in an Organized Health Care Education/Training Program 1005 Dr. D. B. Todd, Jr. Boulevard, Nashville, TN 37208 2019-03-20
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306468152 Advanced Spine and Wellness Clinic/Center 176 Thompson Ln Ste 102, Nashville, TN 37211-2468 2020-05-15
1316413065 American Currenct Care P.a. Clinic/Center 2510 Murfreesboro Pike Ste 2, Nashville, TN 37217-3626 2018-10-21
1396211108 Nihc LLC Clinic/Center 210 25th Ave N # 521, Nashville, TN 37203-1606 2018-10-18
1922557792 Ssss Clinic/Center 902 Pecan St, Nashville, GA 31639-1220 2016-09-22
1326497512 Tennessee Neurodiagnostics, LLC Clinic/Center 424 Church St., Ste. 2000, Office 2006, Nashville, TN 37219 2016-06-08
1487029997 Vanderbilt University Medical Center Clinic/Center 1301 Medical Center Dr # 1710, Nashville, TN 37232-0028 2015-12-09
1447591649 Hospital Authority of Valdosta and Lowndes County, Georgia Clinic/Center 603 E Dennis Ave, Nashville, GA 31639-2510 2013-03-13
1912278110 Jackson Homecare Ministries 1 Clinic/Center 321 Rural Hill Rd, 323 Rural Hill Rd, Nashville, TN 37217-3834 2012-01-19
1710266192 Stone Urgent Care and Occupational. Clinic/Center 3708 Nolensville Pike, Suite D, Nashville, TN 37211-3329 2011-08-16
1790064954 Employment & Assessment Solutions, Inc Clinic/Center 1645 Murfreesboro Rd, Suite H, Nashville, TN 37217-2936 2011-08-05
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Competitor

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City NASHVILLE
Zip Code 37208

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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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