CLARKSVILLE MONTGOMERY COUNTY SCHOOL SYSTEM NPI 1295130755

NPI Information

NPI: 1295130755
Provider Name: CLARKSVILLE MONTGOMERY COUNTY SCHOOL SYSTEM
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
350 PAGEANT LN
SUITE 307
CLARKSVILLE, TN
ZIP 37040
Phone: (931) 906-2001
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CLARKSVILLE MONTGOMERY COUNTY SCHOOL SYSTEM is a primary care clinic center in Clarksville, TN. CLARKSVILLE MONTGOMERY COUNTY SCHOOL SYSTEM NPI is 1295130755. The provider is registered as an organization entity type.

The provider's business location address is:

350 PAGEANT LN
SUITE 307
CLARKSVILLE, TN
ZIP 37040-606
Phone: (931) 906-2001
Fax: (931) 648-5618

The provider's authorized official is Sanford Herman .
The authorized official title is Supervising Physician and has the following contact phone number (615) 491-9571.

The enumeration date for this NPI number is 10/27/2014 and was last updated on 10/27/2014.

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
1	261QP2300X	Clinic/Center	Primary Care	19272	TENNESSEE	Yes

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: 4/28/2024

NPI Synchronization or Removal

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