THE GROVE PRIMARY CARE CLINIC LLC (NPI# 1639345952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639345952 |
Entity Type | Organization |
Organization Name | THE GROVE PRIMARY CARE CLINIC LLC |
Practice Address |
541 W Park Pl Suite C Henderson TN 38340-2027 |
Practice Telephone | 7319830499 |
Practice Fax Number | 7319830573 |
Mailing Telephone | 7319830499 |
Mailing Fax Number | 7319830573 |
Enumeration Date | 2008-05-06 |
Last Update Date | 2019-09-10 |
Authorized Official Name | JODY WYSOR (OWNER) |
Authorized Official Telephone | 7319830499 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285014241 | The Grove Primary Care Clinic LLC | Clinic/Center | 9458 Highway 100, Scotts Hill, TN 38374 | 2015-06-04 |
1790124097 | The Grove Primary Care Clinic LLC | Clinic/Center | 702 S Main St, Middleton, TN 38052-3615 | 2013-06-19 |
Street Address |
541 W PARK PL SUITE C |
City | HENDERSON |
State | TN |
Zip Code | 38340-2027 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316357700 | Sarah Renee Pierce | Nurse Practitioner | 541 W Park Pl, Henderson, TN 38340-2027 | 2014-05-06 |
1578998910 | Tobey William Griffin | Social Worker | 541 W Park Pl, Ste C, Henderson, TN 38340-2027 | 2013-09-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407487390 | Cornerstone Pharmacy, LLC | Pharmacy | 1330 Us Hwy 45 N Ste D, Henderson, TN 38340 | 2020-01-29 |
1184774358 | State of Tennessee | Public Health or Welfare | 301 Quinco Drive, Henderson, TN 38340 | 2007-01-11 |
1952381089 | Ronald Allen Hoffmeyer | Physician Assistant | 1132 Industrial Drive, Henderson Health Center, Henderson, TN 38340 | 2006-01-17 |
1487636031 | Ronald E Johnson | Dentist | 136 South Washington Ave, Henderson, TN 38340-0096 | 2005-11-18 |
1174835664 | Southwest Human Resource Agency | Local Education Agency (LEA) | 1527 White Avenue, Henderson, TN 38340-0264 | 2010-07-13 |
1366637969 | Hardeman County Community Health Center | Clinic/Center | 1132 Industrial Dr, Henderson, TN 38340-1310 | 2007-09-07 |
1629380639 | Candice Johnson Jones | Family Medicine | 1132 Industrial Dr, Henderson, TN 38340-1310 | 2010-07-07 |
1578510269 | Henderson Residential, LLC | Assisted Living Facility | 558 White Ave, Henderson, TN 38340-1504 | 2006-05-28 |
1457591117 | Melaro Behavioral Consultants Inc | Clinic/Center | 225 W Sixth St, Henderson, TN 38340-1515 | 2009-02-20 |
1386797314 | David Allen Magee | Dentist | 1520 Cherry Creek Cv, Henderson, TN 38340-1578 | 2007-01-21 |
Find all providers in zip 38340 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326600974 | Brock Medical, LLC | Clinic/Center | 230 N Green St, Henderson, KY 42420-3109 | 2019-07-03 |
1982936936 | Trinity Clinic | Clinic/Center | 500 N Marshall St, Henderson, TX 75652-5932 | 2010-02-02 |
1760676613 | Trinity Clinic | Clinic/Center | 511 N High St, Henderson, TX 75652-5985 | 2007-09-04 |
1942779509 | West Tennessee Primary Care, LLC | Clinic/Center | 557 W Park Pl, Henderson, TN 38340-2027 | 2018-11-13 |
1952800310 | Henderson Hospital, LLC | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2018-02-12 |
1073906616 | Apex Cardiology PC | Clinic/Center | 557 W Park Pl, Henderson, TN 38340-2027 | 2015-03-06 |
1376777649 | East Texas Medical Center Henderson | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2009-05-14 |
1245464536 | East Texas Medical Center Henderson | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2009-05-14 |
1891929840 | Kentucky Homecare of Henderson, LLC | Clinic/Center | 505 Klutey Park Plaza Dr, Suite A, Henderson, KY 42420-5224 | 2009-05-06 |
1396788113 | Henderson Memorial Hospital | Clinic/Center | 300 Wilson St, Henderson, TX 75652-5956 | 2006-06-13 |
Find all providers in HENDERSON |
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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.