AMBULATORY AND OCCUPATIONAL HEALTH CLINIC PC (NPI# 1649226606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649226606 |
| Entity Type | Organization |
| Organization Name | AMBULATORY AND OCCUPATIONAL HEALTH CLINIC PC |
| Other Organization Name | DOCTORSCARE |
| Practice Address |
2320 Wilma Rudolph Blvd Clarksville TN 37040-5821 |
| Practice Telephone | 9316451564 |
| Practice Fax Number | 9316453842 |
| Mailing Telephone | 9316451564 |
| Mailing Fax Number | 9316453842 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2016-01-20 |
| Authorized Official Name | DR. STEPHEN W KENT (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9316451564 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 7403392 | 01 | |
| HEALTHSPRING | 174664 | 01 |
| Other Name | Type Code |
|---|---|
| DoctorsCare | Doing Business As Name - Organization |
| Street Address |
2320 WILMA RUDOLPH BLVD |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043285539 | Clarksville Imaging Center LLC | Specialist | 2320 Wilma Rudolph Blvd, Clarksville, TN 37040-5821 | 2006-02-20 |
| 1851538177 | Truman Adolf Gartman IIi | Physician Assistant | 2320 Wilma Rudolph Blvd, Clarksville, TN 37040-8960 | 2009-01-08 |
| 1427115260 | Louis D Couly | Physician Assistant | 2320 Wilma Rudolph Blvd, Clarksville, TN 37040-8960 | 2007-01-02 |
| 1548346166 | Jacqueline R Marco | Physician Assistant | 2320 Wilma Rudolph Blvd, Clarksville, TN 37040-5821 | 2006-10-27 |
| 1265471932 | Timothy L Obernuefemann | Emergency Medicine | 2320 Wilma Rudolph Blvd, Clarksville, TN 37040-5821 | 2006-06-06 |
| 1396784138 | Randall E Ellis | Emergency Medicine | 2320 Wilma Rudolph Blvd, Clarksville, TN 37040-5821 | 2006-06-06 |
| 1598704355 | William D Shippen Jr. | Emergency Medicine | 2320 Wilma Rudolph Blvd, Clarksville, TN 37040-5821 | 2006-06-06 |
| 1346295425 | Stephen Warren Kent | Emergency Medicine | 2320 Wilma Rudolph Blvd, Clarksville, TN 37040-5821 | 2006-05-24 |
| 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 | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760837686 | U.n.i. Medical Care, Inc | Clinic/Center | 12272 Clarksville Pike, Suite A, Clarksville, MD 21029-1229 | 2016-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749906 | Three Rivers Medical | Clinic/Center | 2725 E Governor John Sevier Hwy, Knoxville, TN 37914-6620 | 2020-04-22 |
| 1487273702 | Sanitas Medical Center of Tennessee PC | Clinic/Center | 1632 Memorial Blvd Ste 1646, Murfreesboro, TN 37129-2104 | 2020-04-16 |
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1194380568 | Advanced Urgent Care Pllc | Clinic/Center | 455 N Chancery St Ste A, Mcminnville, TN 37110-2049 | 2019-05-01 |
| 1295208874 | Lwc Sevice Providers LLP | Clinic/Center | 111 Ellison Rd Ste 2, La Follette, TN 37766-3025 | 2019-01-07 |
| 1639655368 | Bunker Hill Staffing Urgent Care LLC | Clinic/Center | 1300 Bunker Hill Rd Ste B, Cookeville, TN 38506 | 2018-07-16 |
| 1386159523 | Wellmont Medical Associates, Inc. | Clinic/Center | 1021 Coolidge St Ste 4, Greeneville, TN 37743-5986 | 2017-12-11 |
| 1245754043 | Green River Medical Clinic, LLC | Clinic/Center | 315 Robert Rose Dr Ste F, Murfreesboro, TN 37129-6361 | 2017-08-02 |
| 1235669680 | Uhs Ventures | Clinic/Center | 1130 Middle Creek Rd Ste 290, Sevierville, TN 37862-3051 | 2017-06-19 |
| 1477087658 | Urgent Care Enterprise LLC | Clinic/Center | 5304 Cane Ridge Rd, Antioch, TN 37013-3839 | 2017-04-14 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
Please comment or provide details below to improve the information on AMBULATORY AND OCCUPATIONAL HEALTH CLINIC PC.
| 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.