CONCORD RECOVERY CENTER, LLC (NPI# 1386282036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386282036 |
| Entity Type | Organization |
| Organization Name | CONCORD RECOVERY CENTER, LLC |
| Practice Address |
601 S Concord St Ste 108 Knoxville TN 37919-3339 |
| Practice Telephone | 8659850371 |
| Practice Fax Number | 8659850649 |
| Mailing Telephone | 8659850371 |
| Mailing Fax Number | 8659850649 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | BETH COOPER (OFFICE MANAGER) |
| Authorized Official Telephone | 8659850371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
601 S CONCORD ST STE 108 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235160789 | Guy Clark | Emergency Medicine | 601 S Concord St Ste 108, Knoxville, TN 37919-3339 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316304629 | Deep River Wellness Center | Clinic/Center | 314 Knox Rd, Knoxville, TN 37918-2316 | 2016-01-19 |
| 1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
| 1598385361 | Better Life Medical PC | Clinic/Center | 1328 Papermill Pointe Way, Knoxville, TN 37909-1903 | 2020-04-22 |
| 1598148736 | Knoxville Endocrinology Clinic, LLC | Clinic/Center | 108 Lovell Rd, Knoxville, TN 37934-1903 | 2015-07-07 |
| 1407240971 | Knoxville Omnicare, Pllc | Clinic/Center | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2015-03-23 |
| 1932528338 | Echelon Sports Medicine, Pllc | Clinic/Center | 1400 Dowell Springs Blvd, Suite 140, Knoxville, TN 37909-2456 | 2014-04-14 |
| 1770722688 | East Tennessee Children's Hospital Association, Inc. | Clinic/Center | 2100 Clinch Ave Ste 130, Knoxville, TN 37916-2224 | 2009-02-17 |
| 1013166024 | Seasons of Farragut Pllc | Clinic/Center | 10607 Deerbrook Dr, Knoxville, TN 37922-1942 | 2008-09-15 |
| 1295908457 | Tennessee Valley Orthopedics & Sports Medicine Assoc PC | Clinic/Center | 11808 Kingston Pike, Suite 190, Knoxville, TN 37934-3803 | 2008-04-09 |
| 1891984712 | Great Expectations Ob/gyn/aesthetics, Pllc | Clinic/Center | 2001 Highland Ave, Knoxville, TN 37916-1217 | 2007-10-16 |
| Find all providers in KNOXVILLE | ||||
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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.