CLARKSVILLE HEALTH SYSTEM GP (NPI# 1659326700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659326700 |
| 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 | 2006-05-24 |
| Last Update Date | 2017-09-11 |
| Authorized Official Name | PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLARKSVILLE HEALTH SYSTEM GP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 000000090 | TN | Hospital Units |
| 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 |
| 1285689794 | Clarksville Health System Gp | Clinic/Center | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2006-05-23 |
| 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 |
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| 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 | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841249943 | Johnson Regional Medical Center | Rehabilitation Unit | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225029390 | Jackson Madison County General Hospital | Rehabilitation Unit | 620 Skyline Drive, Jackson, TN 38301-3901 | 2005-10-28 |
| 1629675319 | Premier Physical Therapy Consulting | Rehabilitation Unit | 751b Lynwood Ave, Nashville, TN 37203-5029 | 2020-10-06 |
| 1043824279 | Methodist Healthcare East Hospital | Rehabilitation Unit | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
| 1720642523 | Vanderbilt University Medical Center | Rehabilitation Unit | 500 Park Ave, Lebanon, TN 37087-3721 | 2019-04-26 |
| 1598296691 | Memphis Va Medical Center | Rehabilitation Unit | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2017-03-21 |
| 1710368220 | Saint Thomas River Park Hospital, LLC | Rehabilitation Unit | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2015-06-11 |
| 1336520840 | Saint Thomas Stones River Hospital, LLC | Rehabilitation Unit | 324 Doolittle Rd, Woodbury, TN 37190-1139 | 2015-06-11 |
| 1093124521 | Rchp Montana LLC | Rehabilitation Unit | 103 Continental Pl, Suite 200, Brentwood, TN 37027-1041 | 2014-08-08 |
| 1316379738 | Hca Health Services of Tennessee, Inc. | Rehabilitation Unit | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2013-08-08 |
| 1457640922 | Hca Health Services of Tennessee, Inc. | Rehabilitation Unit | 391 Wallace Rd, Nashville, TN 37211-4851 | 2011-04-05 |
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| 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.