CLARKSVILLE HEALTH SYSTEM GP (NPI# 1285689794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285689794 |
| Entity Type | Organization |
| Organization Name | CLARKSVILLE HEALTH SYSTEM GP |
| Other Organization Name | TENNOVA HEALTHCARE-CLARKSVILLE |
| Practice Address |
651 Dunlop Ln Clarksville TN 37040-5015 |
| Mailing Address |
Po Box 403765 Atlanta GA 30384-3765 |
| Practice Telephone | 9315021000 |
| Practice Fax Number | 9315021215 |
| Mailing Telephone | 9315526622 |
| Mailing Fax Number | 9315511027 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2017-09-11 |
| Authorized Official Name | PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| N | 333600000X | Pharmacy | 147 | TN | Suppliers |
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
147 | TN | Suppliers |
| Y | 282N00000X | General Acute Care Hospital | 000000090 | TN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1000156 | 05 |
| Other Name | Type Code |
|---|---|
| Tennova Healthcare-Clarksville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861431652 | Clarksville Health System Gp | Durable Medical Equipment & Medical Supplies | 1760 Madison St, Clarksville, TN 37043-4913 | 2006-06-06 |
| 1427671718 | Clarksville Health System Gp | Medicare Defined Swing Bed Unit | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2020-05-21 |
| 1952581761 | Clarksville Health System Gp | Hospitalist | 1771 Madison Street, Clarksville, TN 37043-4990 | 2007-11-08 |
| 1003823097 | Clarksville Health System Gp | Psychiatry & Neurology | 1771 Madison St, Clarksville, TN 37043-4990 | 2006-08-02 |
| 1659326700 | Clarksville Health System Gp | Rehabilitation Unit | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2006-05-24 |
| Street Address |
651 DUNLOP LN |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821098690 | Dale P Cunningham | Physical Medicine & Rehabilitation | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2005-07-22 |
| 1487253183 | Carlyn Alexandra Owens | Physician Assistant | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2020-10-22 |
| 1427671718 | Clarksville Health System Gp | Medicare Defined Swing Bed Unit | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2020-05-21 |
| 1063041010 | Caitlynn Richole Laster | Dietitian, Registered | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2020-04-02 |
| 1457994402 | Caroline Elizabeth Chadwell | Physician Assistant | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2019-10-22 |
| 1215578976 | Brian Ronald Song | Physician Assistant | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2019-10-03 |
| 1942768866 | Sabrina Patrise Poydras | Nurse Practitioner | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2019-03-10 |
| 1790274850 | Cedar Ridge Critical Care Medical Group PC | Physician Assistant | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2018-05-04 |
| 1780181263 | Allison Bledsoe | Nurse Practitioner | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2018-04-10 |
| 1528579604 | Valley Emergency Physicians Tennessee PC | Nurse Practitioner | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2017-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275992091 | Ashley Marie Howell | General Acute Care Hospital | 10643 Bob Short, Clarksville, OH 45113-9604 | 2016-02-22 |
| 1346532306 | Vanderbilt Hospital | General Acute Care Hospital | 4450 Ironhorse Way, Clarksville, TN 37040-5457 | 2011-05-10 |
| 1760659205 | Kentuckiana Medical Center LLC | General Acute Care Hospital | 4601 Medical Plaza Way, Clarksville, IN 47129-9204 | 2008-05-14 |
| 1700978194 | Billy T Hall | General Acute Care Hospital | 421 Stonemeadow Rd, Clarksville, TN 37043-2204 | 2006-09-29 |
| 1134116049 | Johnson Regional Medical Center | General Acute Care Hospital | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2005-10-05 |
| 1235767815 | Norton Healthcare-indiana Inc | General Acute Care Hospital | 4601 Medical Plaza Way, Clarksville, IN 47129-9204 | 2020-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174033906 | Behavioral Health of Rocky Top, LLC | General Acute Care Hospital | 210 Industrial Park Dr, Rocky Top, TN 37769-2301 | 2017-10-06 |
| 1104290667 | Michelle Mcconnell Spradley | General Acute Care Hospital | 5006 Dell Dr, Mount Juliet, TN 37122-4157 | 2015-11-20 |
| 1215301981 | Cheryl Hall Wideman | General Acute Care Hospital | 3721 Russell Hurst Dr E, Bartlett, TN 38135-1965 | 2015-11-18 |
| 1104206135 | Vanderbilt University | General Acute Care Hospital | 62 Parks Ln, Fayetteville, TN 37334-6642 | 2015-06-04 |
| 1306247515 | Fort Sanders Regional Medical Center | General Acute Care Hospital | 614 Emory Oak Ct, Knoxville, TN 37909-3439 | 2014-09-07 |
| 1740609130 | Select Specialty | General Acute Care Hospital | 2000 Hayes St Ste 1502, Nashville, TN 37203-2318 | 2014-04-14 |
| 1710301320 | Veronica Blackman | General Acute Care Hospital | 447 Shelley Renee Ln, Cordova, TN 38018-4310 | 2014-02-18 |
| 1962826107 | Hoke Steven Fitzgerald | General Acute Care Hospital | 1073 Smithfield Rd, Tellico Plains, TN 37385-6137 | 2014-02-07 |
| 1336560598 | Vanderbilt University Medical Center | General Acute Care Hospital | 607 Medical Arts Building, 1121 21st Avenue South, Nashville, TN 37232-1320 | 2013-12-13 |
| 1710314554 | Centennial | General Acute Care Hospital | 552 Metroplex Dr, Nashville, TN 37211-3133 | 2013-10-10 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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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.