Organization Active NPI

Riverside Community Care Clinic of Tennessee Corp

  • Multi-Specialty Clinic/Center
  • Nashville, TN
National Provider Identifier
1134829815
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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

Updated by the provider on Feb 8, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.