Active NPI
State of Tennessee
Doing business as Dickson County Health Department
- Public Health or Welfare Agency
- Dickson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- STATE OF TENNESSEE
- Doing business as
- Dickson County Health Department
- Practice address
- 301 W End Ave
Dickson, TN 37055-1725 - Phone
- (615) 446-2839
- Fax
- (615) 441-1900
- NPI assigned
- Jan 18, 2007
- Last updated
- Aug 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Annette Haley
- Title
- Regional Director
- Phone
- (615) 650-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | TN | Primary |
Addresses
Primary practice location
301 W End Ave
Dickson, TN 37055-1725
Mailing address
301 W End Ave
Dickson, TN 37055-1725
Phone (615) 446-2839
Other names 1
- Dickson County Health Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220217001307 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 5698687077 | Practice locations: Dickson, TN |
National Provider Directory
National Provider Directory- Tax ID family
- Kingsport Health Center
Organizations with this tax ID in the same state 17
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Adult Medicine Physician
- Nashville, TN
- NPI 1104107101
-
- Public Health or Welfare Agency
- Morristown, TN
- NPI 1063760270
-
- Dental Clinic/Center
- Johnson City, TN
- NPI 1013991686
-
dba Sumner County Portland Clinic
- Public Health or Welfare Agency
- Portland, TN
- NPI 1003090036
-
dba Tennessee Department of Intellectual and Developmental Disabilities
- Occupational Therapist
- Arlington, TN
- NPI 1013329564
-
dba Arlington Developmental Center
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Arlington, TN
- NPI 1023151354
-
dba NE Tennessee Mobil Dental Unit
- Public Health or Welfare Agency
- Johnson City, TN
- NPI 1023159993
-
dba East Tenn Regional Office - Other Clinics
- State or Local Public Health Clinic/Center
- Knoxville, TN
- NPI 1023232949
-
- Intellectual Disabilities Intermediate Care Facility
- Greeneville, TN
- NPI 1023412020
-
dba Department of Intellectual and Developmental Disabilities
- Home Health Agency
- Donelson, TN
- NPI 1023499639
-
dba Houston County Health Department
- Public Health or Welfare Agency
- Erin, TN
- NPI 1033262530
-
dba Sevier County Health Department
- State or Local Public Health Clinic/Center
- Sevierville, TN
- NPI 1033264916
Locations
301 W End Ave
Dickson, TN 37055
Phone (615) 446-2839
301 W Main St
Ste 200
Woodbury, TN 37190
Phone (615) 563-4243
Ownership & related parties
All facility ownership & control disclosures 18
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Middle Tennessee Mental Health Institute | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 1995 |
| Moccasin Bend Mental Health Institute | Hospital | Operational/Managerial Control (100%) | Jul 1, 2008 |
| Stewart County Community Medical Center | Federally qualified health center | Operational/Managerial Control (100%) | Feb 19, 1987 |
| Overton County Health Department | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Other (100%) |
Apr 23, 2014 Apr 23, 2014 |
| Cannon County Health Department | Federally qualified health center | Other | Apr 23, 2014 |
| Clay County Health Department | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Other (100%) |
Apr 23, 2014 Apr 23, 2014 |
| Cumberland County Health Department | Federally qualified health center | Other | Apr 23, 2014 |
| Dekalb County Health Department | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Other (100%) |
Apr 23, 2014 Apr 23, 2014 |
| Fentress County Health Department | Federally qualified health center | Other | Apr 23, 2014 |
| Jackson County Health Department | Federally qualified health center | Other | Apr 23, 2014 |
| Macon County Health Department | Federally qualified health center | Other | Apr 23, 2014 |
| Pickett County Health Department | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Other (100%) |
Apr 23, 2014 Apr 23, 2014 |
| Putnam County Health Department | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Other (100%) |
Apr 23, 2014 Apr 23, 2014 |
| Smith County Health Department | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Other (100%) |
Apr 23, 2014 Apr 23, 2014 |
| Van Buren County Health Department | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Other (100%) |
Apr 23, 2014 Apr 23, 2014 |
| Warren County Health Department | Federally qualified health center | Other | Apr 23, 2014 |
| White County Health Department | Federally qualified health center | Other | Apr 23, 2014 |
| Gibson County Health Department/Community Health Center | Federally qualified health center | Operational/Managerial Control (100%) | Aug 1, 2015 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346112000000",
"number": "1023160934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W END AVE",
"city": "DICKSON",
"state": "TN",
"postal_code": "370551725",
"telephone_number": "615-446-2839",
"fax_number": "615-441-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W END AVE",
"city": "DICKSON",
"state": "TN",
"postal_code": "370551725",
"telephone_number": "615-446-2839",
"fax_number": "615-441-1900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE OF TENNESSEE",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2012-08-28",
"status": "A",
"authorized_official_last_name": "HALEY",
"authorized_official_first_name": "ANNETTE",
"authorized_official_title_or_position": "REGIONAL DIRECTOR",
"authorized_official_telephone_number": "615-650-7000",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dickson County Health Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dickson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.