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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3340187 | 05 |
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 |
Street Address |
1700 17TH AVENUE NORTH FISK UNVIERISTY SHANE HALL |
City | NASHVILLE |
State | TN |
Zip Code | 37208 |
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 |
Find all providers in zip 37208 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
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). |
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 |
Find all providers in NASHVILLE |
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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.