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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 4448133 | 05 |
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 |
Street Address |
804 N PARKWAY |
City | JACKSON |
State | TN |
Zip Code | 38305-3058 |
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 |
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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 |
Find all providers in zip 38305 |
Taxonomy Code | 261QP0905X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Public Health, State or Local |
Definition to come... |
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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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.