DICKSON COUNTY-WHITE BLUFF CLINIC (STATE OF TENNESSEE) NPI 1205988144

Public Health or Welfare in White Bluff, TN

NPI 1205988144 Organization Public Health or Welfare

About DICKSON COUNTY-WHITE BLUFF CLINIC (STATE OF TENNESSEE)

Dickson County-white Bluff Clinic (state Of Tennessee) is a provider established in White Bluff, Tennessee specializing in public health or welfare. The NPI number of Dickson County-white Bluff Clinic (state Of Tennessee) is 1205988144 and was assigned on January 2007. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Dickson County-white Bluff Clinic. The authorized official of this NPI record is Mrs. Annette Haley (Regional Director)

NPI

1205988144

Provider NameDICKSON COUNTY-WHITE BLUFF CLINIC (STATE OF TENNESSEE)
Provider Location Address200 SCHOOL RD WHITE BLUFF, TN 37187
Provider Mailing Address200 SCHOOL RD WHITE BLUFF, TN 37187
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameDICKSON COUNTY-WHITE BLUFF CLINIC
Other Name TypeDoing Business As (3)
Enumeration Date01-18-2007
Last Update Date08-28-2012


Primary Taxonomy

Taxonomy Code251K00000X
ClassificationPublic Health or Welfare
TypeAgencies
License StateTN

Business Address

DICKSON COUNTY-WHITE BLUFF CLINIC
200 SCHOOL RD
WHITE BLUFF, TN
ZIP 37187
Phone: (615) 797-5056
Fax: (615) 797-5051

Get Directions


Mailing Address

DICKSON COUNTY-WHITE BLUFF CLINIC
200 SCHOOL RD
WHITE BLUFF, TN
ZIP 37187
Phone: (615) 797-5056
Fax: (615) 797-5051



Authorized Official

Authorized Official NameMRS. ANNETTE HALEY
Authorized Official TitleREGIONAL DIRECTOR
Authorized Official Phone(615) 650-7000

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
3913113MEDICARE ID-TYPE UNSPECIFIED (04)TN
3913113MEDICAID (05)TN

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932322609 ANNA L. RACKLEY RN
Individual
Registered Nurse200 SCHOOL RD
WHITE BLUFF, TN 37187
(615) 797-5056
1194942375 DIANE E. FREEMAN RN
Individual
Registered Nurse200 SCHOOL RD
WHITE BLUFF, TN 37187
(615) 797-5056
1306282074MRS. CRYSTAL GAIL HARBER LPN
Individual
Licensed Practical Nurse200 SCHOOL RD
WHITE BLUFF, TN 37187
(615) 797-5056
1578912374 MEGAN SNIDER F.N.P.
Individual
Nurse Practitioner (Family)200 SCHOOL RD
WHITE BLUFF, TN 37187
(615) 513-7463
1235661000 ERICA RAHMAN RN
Individual
Registered Nurse (Community Health)200 SCHOOL RD
WHITE BLUFF, TN 37187
(615) 797-5056
1649737727 MICHELLE A. OSBORN REGISTERED NURSE
Individual
Registered Nurse (Community Health)200 SCHOOL RD
WHITE BLUFF, TN 37187
(615) 797-5056

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.