GAINESBORO ULTIMATE MED SERVICE CORPORATION


Address: 179 Buck Branch Ln, Gainesboro, TN 38562
Phone: 9313030012

GAINESBORO ULTIMATE MED SERVICE CORPORATION (NPI# 1861704587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861704587
Entity Type Organization
Organization Name GAINESBORO ULTIMATE MED SERVICE CORPORATION
Practice Address 179 Buck Branch Ln
Gainesboro
TN 38562
Practice Telephone 9313030012
Practice Fax Number 9312415444
Mailing Telephone 9313030012
Mailing Fax Number 9312415444
Enumeration Date 2010-07-10
Last Update Date 2010-07-10
Authorized Official Name MR. YENNIER CAPOTE (PRESIDENT)
Authorized Official Telephone 9313030012
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 179 BUCK BRANCH LN
City GAINESBORO
State TN
Zip Code 38562

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669023768 Grandkin Caregivers LLC In Home Supportive Care 107 East Gore Avenue, Gainesboro, TN 38562 2019-09-20
1548582125 Thomas J Mabry & Associates Assisted Living Facility 100 Jettie Mabry Lane, Gainesboro, TN 38562 2010-02-23
1114040292 Thomas J Mabry & Assoc Inc Skilled Nursing Facility 1340 N Grundy Quarles Hwy, Gainesboro, TN 38562 2007-04-06
1861403933 Gainesboro Rx Corp Pharmacy 100 Hull Avenue, Gainesboro, TN 38562 2006-08-11
1194748566 Anderson & Haile Drug Store Durable Medical Equipment & Medical Supplies 101 West Gore Ave, Gainesboro, TN 38562 2006-07-25
1861496341 Jackson County Court House Executive Ambulance 316 N. Murray Street, Gainesboro, TN 38562 2005-06-13
1699172312 Teneal Faye Jenkins Pharmacist 101 West Gore Ave, Gainesboro, TN 38562-0065 2014-11-24
1336312735 Elijah M Dudney General Practice 2546 Freestate Road, Gainesboro, TN 38562-0126 2008-04-07
1235418690 Alexa Allison Miller Dentist 103 East Gore Ave, Gainesboro, TN 38562-0595 2011-08-16
1508081233 Jerry Ray Driver Dentist 103 East Gore Ave., Gainesboro, TN 38562-0595 2007-04-16
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1700411592 Fentress Family Care LLC Clinic/Center 1010 Old Highway 127 S, Jamestown, TN 38556-5648 2020-03-11
1831724822 Guiding Star Memphis Clinic/Center 2980 Poplar Ave Ste 101, Memphis, TN 38111-3527 2020-03-10
1407486764 Elijahs Dream Compassionate Care Clinic/Center 134 Creekside Dr Ste 1, Ocoee, TN 37361-3653 2020-01-24
1518506542 Faith Medical Group, Pllc Clinic/Center 500 Mcfarland St Ste E, Morristown, TN 37814-3992 2019-12-20
1366080582 Matthew E. Schantz, M.d. Clinic/Center 206 S Military St Ste 1, Loretto, TN 38469-2101 2019-12-18
1114563749 Step One Medical Associates PC Clinic/Center 4502 Bristol Hwy, Johnson City, TN 37601-2936 2019-11-19
1023665403 Elite Healthcare, LLC Clinic/Center 117 N 3rd St, Kingston, TN 37763-2842 2019-08-21
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Competitor

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City GAINESBORO
Zip Code 38562

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Dataset Information

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.

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