OCOEE REGIONAL HEALTH CORPORATION (NPI# 1386857381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386857381 |
| Entity Type | Organization |
| Organization Name | OCOEE REGIONAL HEALTH CORPORATION |
| Practice Address |
6784 Highway 411 Benton TN 37307-0308 |
| Mailing Address |
Po Box 308 Benton TN 37307-0308 |
| Practice Telephone | 4233388995 |
| Practice Fax Number | 4233388996 |
| Mailing Telephone | 4233388995 |
| Mailing Fax Number | 4233388996 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2014-04-28 |
| Authorized Official Name | MR. BILL R MOATS (CEO) |
| Authorized Official Telephone | 4233388995 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3379622 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265645204 | Ocoee Regional Health Corporation | Clinic/Center | 3625 Us 127, Pikeville, TN 37367 | 2007-05-07 |
| 1245442169 | Ocoee Regional Health Corporation | Clinic/Center | 1420 Fritz St Se, Cleveland, TN 37323-6009 | 2007-05-04 |
| 1356553267 | Ocoee Regional Health Corporation | Clinic/Center | 8850 Rhea County Highway, Dayton, TN 37321-1036 | 2007-05-04 |
| 1619181484 | Ocoee Regional Health Corporation | Clinic/Center | 6784 Highway 411, Benton, TN 37307-4818 | 2007-05-10 |
| 1902010770 | Ocoee Regional Health Corporation | Clinic/Center | Highway 108, Palmer, TN 37365 | 2007-05-10 |
| 1760694665 | Ocoee Regional Health Corporation | Clinic/Center | 305 River Rd, Decatur, TN 37322-7801 | 2007-05-04 |
| Street Address |
6784 HIGHWAY 411 |
| City | BENTON |
| State | TN |
| Zip Code | 37307-0308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225023799 | Victoria L Kinsey | Family Medicine | 6784 Highway 411, Benton, TN 37307-4818 | 2005-09-12 |
| 1205467339 | Laurel Martin | Nurse Practitioner | 6784 Highway 411, Benton, TN 37307-4818 | 2020-01-28 |
| 1275177859 | Roksolana Odinets | Nurse Practitioner | 6784 Highway 411, Benton, TN 37307-4818 | 2019-11-06 |
| 1073778007 | Denise Renee Tate | Nurse Practitioner | 6784 Highway 411, Benton, TN 37307-4818 | 2008-07-18 |
| 1619181484 | Ocoee Regional Health Corporation | Clinic/Center | 6784 Highway 411, Benton, TN 37307-4818 | 2007-05-10 |
| 1659454403 | Jovonna R Riggins | Family Medicine | 6784 Highway 411, Benton, TN 37307-4818 | 2006-10-23 |
| 1730137035 | Susan G Fisher | Internal Medicine | 6784 Highway 411, Benton, TN 37307-4818 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538330485 | Caleb Sloan Rae | Physician Assistant | 126 Polk Street, Benton, TN 37307 | 2008-03-19 |
| 1104026087 | Christopher Alvin Patterson | Pharmacist | 6206 Hwy 411, Benton, TN 37307 | 2007-07-19 |
| 1053446450 | Jason Dewayne Nicholson | Dentist | 6151 Hwy 411, Benton, TN 37307 | 2007-02-23 |
| 1598825226 | Preferred Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 6206 Highway 411, Benton, TN 37307 | 2006-12-11 |
| 1306895784 | Joseph Matthew Gager | Physical Therapist | 6176 Highway 411, Benton, TN 37307 | 2006-05-10 |
| 1588721682 | Jerry D. Lowery | Pharmacist | 55 Main Street, Benton, TN 37307 | 2007-01-02 |
| 1457424194 | Rachel Mcclary Brewer | Pharmacist | 55 Main Street, Benton, TN 37307 | 2006-11-17 |
| 1780797035 | Aleksander Ivanovich Malakhov | Family Medicine | Highway 411 South, Benton, TN 37307-0308 | 2006-08-17 |
| 1053757005 | Kimberli Booth | Massage Therapist | 217 Ward St, Benton, TN 37307-3054 | 2013-05-17 |
| 1962549808 | State of Tennessee | Public Health or Welfare | 2279 Parksville Rd, Benton, TN 37307-3803 | 2007-01-31 |
| Find all providers in zip 37307 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932108974 | Southeast Missouri Health Network | Clinic/Center | 6738 State Highway 77, Benton, MO 63736-8238 | 2005-07-20 |
| 1689168643 | Arcare | Clinic/Center | 630 W South St, Benton, AR 72015-4258 | 2018-06-21 |
| 1497035661 | Southeast Missouri Health Network | Clinic/Center | 6724 State Highway 77, Benton, MO 63736-8238 | 2011-08-19 |
| 1619181484 | Ocoee Regional Health Corporation | Clinic/Center | 6784 Highway 411, Benton, TN 37307-4818 | 2007-05-10 |
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|---|---|---|---|---|
| 1912525809 | Christ Community Health Services, Inc | Clinic/Center | 4350 Chuck Ave, Memphis, TN 38118-4076 | 2020-07-08 |
| 1730707621 | Christ Community Health Services, Inc. | Clinic/Center | 3206 Poplar Ave, Memphis, TN 38111-3502 | 2020-07-08 |
| 1003442112 | Christ Commuity Health Services Inc | Clinic/Center | 3360 S 3rd St, Memphis, TN 38109-2944 | 2020-03-20 |
| 1689160939 | Maury Regional Hospital | Clinic/Center | 98 Experiment Station Lane, Columbia, TN 38401-4700 | 2018-07-10 |
| 1194245399 | United Neighborhood Health Services, Inc. | Clinic/Center | 442 Metroplex Dr Ste 200, Nashville, TN 37211-3112 | 2017-06-20 |
| 1659745354 | Memphis Health Center, Inc. | Clinic/Center | 4250 Faronia Rd Ste 2a, Memphis, TN 38116-6527 | 2015-11-18 |
| 1639546187 | United Neighborhood Health Services, Inc. | Clinic/Center | 3904 Gallatin Pike, Nashville, TN 37216 | 2015-08-31 |
| 1790170389 | Maury Regional Hospital | Clinic/Center | 854 W James M Campbell Blvd Ste 301, Columbia, TN 38401-4659 | 2015-04-01 |
| 1285999128 | United Neighborhood Health Services, Inc | Clinic/Center | 401 Walton Ln, Nashville, TN 37216-1018 | 2012-07-06 |
| 1891058848 | United Neighborhood Health Services, Inc | Clinic/Center | 1900 Hobson Pike, Antioch, TN 37013-2421 | 2012-06-23 |
| Find all providers with the same taxonomy | ||||
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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.