JACKSON MADISON COUNTY REGIONAL HEALTH DEPARTMENT


Address: 804 N Parkway, Jackson, TN 38305-3058
Phone: 7314233020

JACKSON MADISON COUNTY REGIONAL HEALTH DEPARTMENT (NPI# 1265700637) 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) 1265700637
Entity Type Organization
Organization Name JACKSON MADISON COUNTY REGIONAL HEALTH DEPARTMENT
Practice Address 804 N Parkway
Jackson
TN 38305-3058
Practice Telephone 7314233020
Practice Fax Number 7319278601
Mailing Telephone 7314233020
Mailing Fax Number 7319278601
Enumeration Date 2011-12-13
Last Update Date 2011-12-13
Authorized Official Name QUILL JAMES BRABHAM JR. (PUBLIC HEALTH REPRESENATIVE)
Authorized Official Telephone 7314233020
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP0905X Clinic/Center
Specialization: Public Health, State or Local
0157449RE TN Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TN 4448133 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1871676593 Jackson Madison County Regional Health Department Public Health or Welfare 804 North Parkway, Jackson, TN 38305-3058 2006-10-24

Office Location

Street Address 804 N PARKWAY
City JACKSON
State TN
Zip Code 38305-3058

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902972706 Lanora Elaine Bryant Dentist 804 N Parkway, Jackson Madison County Regional Health Dept, Jackson, TN 38305-3058 2006-11-27
1598162661 Cynedra Neely Licensed Practical Nurse 804 N Parkway, Jackson, TN 38305-3058 2014-12-04
1477976967 Ashley Wilkinson Registered Nurse 804 N Parkway, Jackson, TN 38305-3058 2014-02-04
1093137259 Catherine Watson Crutchfield Registered Nurse 804 N Parkway, Jackson, TN 38305-3058 2014-01-07
1407174220 Leeann Huskey Licensed Practical Nurse 804 N Parkway, Jackson, TN 38305-3058 2010-05-05
1538307418 Janice V Brown Counselor 804 N Parkway, Jackson, TN 38305-3058 2009-01-30
1487891099 Courtney Beth Agee Registered Nurse 804 N Parkway, Jackson, TN 38305-3058 2009-01-20
1902041320 Leanne Simpson Montgomery Nutritionist 804 N Parkway, Jackson, TN 38305-3058 2008-12-15
1134375793 Tara Lynn Rogers Registered Nurse 804 N Parkway, Jackson, TN 38305-3058 2008-08-14
1417103078 Jennifer Lynn Hutcherson Registered Nurse 804 N Parkway, Jackson, TN 38305-3058 2008-08-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427656818 Kimaya Jelks Specialist 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 2020-10-16
1821600578 Maame Obeng Pharmacist 3144 North Highland Avenue, Jackson, TN 38305 2020-08-22
1700361904 James Cowie Psychologist 156c West University Pkwy, Jackson, TN 38305 2018-10-03
1700372109 Chad Zawacki Physician Assistant 147 North Star Drive, Jackson, TN 38305 2018-07-09
1104323070 Golden Years Adult Day Care Clinic/Center 155 Carriage Dr Suite A, Jackson, TN 38305 2018-04-09
1245754563 Tanika Annette Gillard Massage Therapist 4 Hampton Ln, Jackson, TN 38305 2017-07-28
1316488117 Lakisha T Ingram Counselor 168 Greencastle Dr, Jackson, TN 38305 2017-03-13
1619421567 D & L Wellness Inc Community/Behavioral Health 154 Carriage House Dr., Jackson, TN 38305 2016-08-09
1649637638 Advance Choice Home Care LLC In Home Supportive Care 1028 Ashport Rd., Jackson, TN 38305 2016-01-21
1942666151 Neurohealth Solutions Inc. Clinic/Center 174 Murray Guard Dr. Suite E, Jackson, TN 38305 2016-01-05
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Taxonomy Information

Taxonomy Code 261QP0905X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Public Health, State or Local

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225375538 Blondy Shupp Clinic/Center 1310 Elyse Dr, Christiana, TN 37037-1403 2013-01-07
1275804908 Metro Public Health Department Clinic/Center 311 23rd Avenue North, Nashville, TN 37203-1511 2012-01-26
1598894354 Bedford County Health Department Clinic/Center 1606 Collins Hollow Rd, Lewisburg, TN 37091-4058 2007-03-05
1306991286 State of Tennessee Clinic/Center 301 Mcghee St, Maryville, TN 37801-6811 2007-01-24
1669527230 State of Tennessee Clinic/Center 3469 New Highway 68, Madisonville, TN 37354 2007-01-24
1033264916 State of Tennessee Clinic/Center 719 Middle Creek Rd, Sevierville, TN 37862-5016 2007-01-24
1598285991 Darnell Reginald Brooks Clinic/Center 2500 Charlotte Ave, Nashville, TN 37209-4129 2017-06-27
1356712673 Montgomery County Health Department Clinic/Center 330 Pageant Ln, Clarksville, TN 37040-3854 2015-10-13
1164803623 Dandelion Diversified Care Clinic/Center 8295 Tournament Dr, Memphis, TN 38125-8906 2015-06-10
1124414396 Metropolitan Government of Nashville and Davidson City Emps Clinic/Center 2500 Charlotte Ave, Nashville, TN 37209-4129 2015-04-14
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Competitor

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City JACKSON
Zip Code 38305

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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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