STATE OF TENNESSEE (NPI# 1962540880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962540880 |
Entity Type | Organization |
Organization Name | STATE OF TENNESSEE |
Other Organization Name | CAMPBELL COUNTY HEALTH DEPARTMENT |
Practice Address |
162 Sharp Perkins Road Jacksboro TN 37757 |
Mailing Address |
Po Box 59019 Knoxville TN 37950-9019 |
Practice Telephone | 4235628351 |
Practice Fax Number | 4235621593 |
Mailing Telephone | 4235628351 |
Mailing Fax Number | 4235621593 |
Enumeration Date | 2007-02-02 |
Last Update Date | 2010-08-23 |
Authorized Official Name | MARIANNE F SHARP (REGIONAL ACCOUNTANT) |
Authorized Official Telephone | 8655495266 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251K00000X | Public Health or Welfare | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BLUECROSS BLUESHIELD TN | 154308 | 01 |
TN | 4447836 | 05 |
Other Name | Type Code |
---|---|
Campbell County Health Department | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417337056 | State of Tennessee | Physical Therapist | 400 Deaderick St, Citizens Plaza, 9th Floor, Nashville, TN 37243-0001 | 2015-06-08 |
1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
1871997163 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 803 Redbud Dr, Greeneville, TN 37743-6141 | 2014-10-15 |
1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
1114330545 | State of Tennessee | Occupational Therapist | 301 Stewarts Ferry Pike, Didd Middle Tn Seating and Positioning Clinic, Nashville, TN 37214-3340 | 2014-06-03 |
1356770531 | State of Tennessee | Public Health or Welfare | 1660 Silverado Ct, Sevierville, TN 37876-4426 | 2013-11-07 |
1699104885 | State of Tennessee | Public Health or Welfare | 485 Sulphur Hollow Rd, Tazewell, TN 37879-5170 | 2013-11-07 |
1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
Street Address |
162 SHARP PERKINS ROAD |
City | JACKSBORO |
State | TN |
Zip Code | 37757 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780722975 | Wanda F Tackett | Registered Nurse | 162 Sharp Perkins Road, Jacksboro, TN 37757-0418 | 2007-02-01 |
1629412986 | Shannon Paige Overton | Registered Nurse | 162 Sharp Perkins Road, Jacksboro, TN 37757-0418 | 2013-04-17 |
1902948912 | Michele O Lynch | Registered Nurse | 162 Sharp Perkins Road, Jacksboro, TN 37757-0418 | 2007-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861809642 | Samantha Ross | Physical Therapy Assistant | 272 Gardner Lane, Jacksboro, TN 37757 | 2014-07-14 |
1225348493 | Summit Medical Group, Pllc | Internal Medicine | 163 Perkins Lane, Jacksboro, TN 37757 | 2010-10-20 |
1518112911 | Pediatric Professionals | Specialist | 136 Mountain Perkins Lane, Suite 2, Jacksboro, TN 37757 | 2008-11-26 |
1992804827 | Riggs Drug Store | Pharmacy | 2636 Jacksboro Pike, Jacksboro, TN 37757 | 2006-09-21 |
1629536362 | Jacksboro Urgent Care | Clinic/Center | 2707 Jacksboro Pike, Suite 2, Jacksboro, TN 37757 | 2019-03-12 |
1942598305 | Thomas Wayne Robbins | Family Medicine | 2545 Jacksboro Pike, Jacksboro, TN 37757 | 2011-07-19 |
1841514155 | Margaret Reid Young | Nurse Practitioner | 136 Mountain Perkins Lane, Suite 2, Jacksboro, TN 37757 | 2010-03-16 |
1083868517 | Med-trans Corporation | Ambulance | 588 Memorial Lane, Jacksboro, TN 37757-0000 | 2008-11-11 |
1053458430 | Vida Lou Rains | Registered Nurse | 162 Sharp-perkins Road, Jacksboro, TN 37757-0418 | 2007-02-01 |
1548307473 | Kathy Lynne Nelson | Registered Nurse | 162 Sharp Perkins Rd., Jacksboro, TN 37757-0418 | 2007-01-31 |
Find all providers in zip 37757 |
Taxonomy Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265054068 | Serious Healthcare Corporation | Public Health or Welfare | 100 Cherokee Blvd Ste 2010, Chattanooga, TN 37405-3864 | 2020-05-14 |
1477017150 | Christopher Todd Crouse | Public Health or Welfare | 963 Promenade Dr, Adams, TN 37010-1400 | 2019-01-26 |
1184195612 | Management Solutions LLC | Public Health or Welfare | 2202 Award Winning Way Ste 201, Knoxville, TN 37932-1992 | 2018-12-10 |
1144739764 | Roots Healthcare and Homes, LLC | Public Health or Welfare | 1150 Saunders Ave, Memphis, TN 38127-5229 | 2017-09-26 |
1285155150 | Helping Hands of Middle & West Tennessee | Public Health or Welfare | 1408 N Highland Ave Ste 100, Jackson, TN 38301-3450 | 2017-06-30 |
1881068757 | Alcoa Fire Department | Public Health or Welfare | 2010 N Wright Rd, Alcoa, TN 37701-3804 | 2015-11-16 |
1124494059 | Tennessee Department of Children's Services | Public Health or Welfare | 436 6th Ave N, Nashville, TN 37243-9004 | 2015-08-14 |
1477975654 | Mull Foundation | Public Health or Welfare | 6796 Blue Lake Ln, Memphis, TN 38141-0582 | 2014-01-07 |
1356770531 | State of Tennessee | Public Health or Welfare | 1660 Silverado Ct, Sevierville, TN 37876-4426 | 2013-11-07 |
1699104885 | State of Tennessee | Public Health or Welfare | 485 Sulphur Hollow Rd, Tazewell, TN 37879-5170 | 2013-11-07 |
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.