VANDERBILT INTEGRATED PRIMARY CARE WARTRACE
NPI 1659970549
Clinic/Center - Rural Health in Wartrace, TN

Active since October 21, 2020CLIA 44D1088041 · Waiver
507 BLACKMAN BLVD W, WARTRACE, TN 37183(931) 389-0600 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2021, Dec 16, 2020, Dec 11, 2020 and 1 more (4 updates tracked since 2020).

About Vanderbilt Integrated Primary Care Wartrace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VANDERBILT INTEGRATED PRIMARY CARE WARTRACE (NPI 1659970549) is a healthcare organization registered as a rural health in Wartrace, Tennessee and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through August 14, 2026 and lists Angela L Simmons, Vp - Finance, as its authorized official.

NPPES Registry Identity

NPI1659970549
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameVANDERBILT BEDFORD HOSPITAL, LLC
Location Address507 BLACKMAN BLVD WWartrace, TN 37183-2210
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Organization SubpartNo
Authorized OfficialAngela L SimmonsVp - Finance · (615) 936-8875
Enumeration DateOctober 21, 2020
Last NPPES UpdateMarch 31, 20224 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
NPI 1659970549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
507 BLACKMAN BLVD W, Wartrace, TN 37183

Other Names 1

Doing Business AsVanderbilt Integrated Primary Care Wartrace

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D1088041

Vanderbilt Bedford Hospital, LLC Dba Vanderbilt Intergrated Primary Care Wartrace · Wartrace, TN
Active · expires Aug 14, 2026
CLIA Number44D1088041
Laboratory TypeMobile Laboratory
Certificate Effective DateAugust 15, 2024
Certificate Expiration DateAugust 14, 2026
Laboratory DirectorMatthew Brock
Laboratory Phone(931) 389-0600
Laboratory LocationVanderbilt Bedford Hospital, LLC Dba Vanderbilt Intergrated Primary Care Wartrace507 Blackman Boulevard West, Wartrace, TN 37183
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
507 BLACKMAN BLVD W
WARTRACE, TN 37183
Nurse Practitioner (Family)
507 BLACKMAN BLVD W
WARTRACE, TN 37183
Nurse Practitioner
507 BLACKMAN BLVD W
WARTRACE, TN 37183
Clinic/Center (Rural Health)
507 BLACKMAN BLVD W
WARTRACE, TN 37183
Family Medicine
507 BLACKMAN BLVD W
WARTRACE, TN 37183
Nurse Practitioner (Family)
507 BLACKMAN BLVD W
WARTRACE, TN 37183
Family Medicine
507 BLACKMAN BLVD W
WARTRACE, TN 37183

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vanderbilt Bedford Hospital, LLC's NPI number?

The NPI number for Vanderbilt Bedford Hospital, LLC is 1659970549. It was assigned to this organization in the NPPES registry on October 21, 2020. The provider is doing business as Vanderbilt Integrated Primary Care Wartrace.

Where is Vanderbilt Bedford Hospital, LLC located?

Vanderbilt Bedford Hospital, LLC is located at 507 Blackman Blvd W, Wartrace, TN 37183. The listed phone number is (931) 389-0600.

What is Vanderbilt Bedford Hospital, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Vanderbilt Bedford Hospital, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1088041) is associated with this NPI, valid through August 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vanderbilt Bedford Hospital, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Vanderbilt Bedford Hospital, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vanderbilt Bedford Hospital, LLC was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.