United Neighborhood Health Services, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

UNITED NEIGHBORHOOD HEALTH SERVICES, INC

Doing business as

Wavery Belmont Family Health Center

Practice address

1501 12TH Ave S
Nashville, TN 37203-4909

Phone

(615) 269-3461

Fax

(615) 383-1950

NPI assigned

Oct 16, 2007

Last updated

Oct 16, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary A Bufwack

Title

Ceo

Phone

(615) 228-8902

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wavery Belmont Family Health Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1033308960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 12TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034909",
            "telephone_number": "615-269-3461",
            "fax_number": "615-383-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 12TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034909",
            "telephone_number": "615-269-3461",
            "fax_number": "615-383-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED NEIGHBORHOOD HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "BUFWACK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-228-8902"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3661057",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wavery Belmont Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Federally Qualified Health Center (FQHC) in Nashville, TN
• Providers in Nashville, TN by specialty
• Federally Qualified Health Center (FQHC) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.