DAYSPRING HEALTH INC NPI 1013049469

NPI Information

  • NPI: 1013049469
  • Provider Name: DAYSPRING HEALTH INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: CLEAR FORK CLINIC
  • CLIA Number: 44D0311235
  • Address: 5663 HWY 90
    CLAIRFIELD, TN
    ZIP 37715
  • Phone: (423) 784-6135

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NPI Details

DAYSPRING HEALTH INC is a federally qualified health center (fqhc) clinic center in Clairfield, TN. DAYSPRING HEALTH INC NPI is 1013049469. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Clear Fork Clinic.

The provider's business location address is:

5663 HWY 90
CLAIRFIELD, TN
ZIP 37715
Phone: (423) 784-6135
Fax: (423) 784-8615

The provider's authorized official is Mark Watt .
The authorized official title is Ceo and has the following contact phone number (423) 784-8492.

The CLIA number assigned to this NPI record is 44D0311235 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/12/2007 and was last updated on 9/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerTENNESSEENo
2207V00000XObstetrics & GynecologyNo
3363A00000XPhysician AssistantTENNESSEENo
4207Q00000XFamily MedicineTENNESSEENo
5261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)441854TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14447807MEDICAIDTENNESSEE
2702210OTHERTENNESSEEBLACK LUNG
365903148MEDICAIDKENTUCKY
40395390OTHERTENNESSEEUMWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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