Active NPI
Riverside Community Care Clinic of Tennessee Corp
- Multi-Specialty Clinic/Center
- Nashville, TN
National Provider Identifier
1134829815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- RIVERSIDE COMMUNITY CARE CLINIC OF TENNESSEE CORP
- Practice address
- 341 Wallace Rd Ste B
Nashville, TN 37211-8001 - Phone
- (615) 866-2731
- Fax
- (615) 866-2732
- NPI assigned
- Mar 9, 2023
- 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
- Steven Smith
- Title
- Manager
- Phone
- (502) 244-9859
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
341 Wallace Rd Ste B
Nashville, TN 37211-8001
Mailing address
341 Wallace Rd Ste B
Nashville, TN 37211-8001
Phone (615) 866-2731
National Provider Directory
National Provider DirectoryLocations
341 Wallace Rd
Ste B
Nashville, TN 37211
Phone (615) 690-4293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707350400000",
"number": "1134829815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 WALLACE RD STE B",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372118001",
"telephone_number": "615-866-2731",
"fax_number": "615-866-2732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 WALLACE RD STE B",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372118001",
"telephone_number": "615-866-2731",
"fax_number": "615-866-2732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE COMMUNITY CARE CLINIC OF TENNESSEE CORP",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-09",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "502-244-9859"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.