NPIMap

Organization Active NPI

United Neighborhood Health Services, Inc

Doing business as UNHS Mission Clinic

  • Federally Qualified Health Center (FQHC)
  • Nashville, TN
National Provider Identifier
1154602282
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
UNITED NEIGHBORHOOD HEALTH SERVICES, INC
Doing business as
UNHS Mission Clinic
Practice address
639 Lafayette St
Nashville, TN 37203
Phone
(615) 256-0197
Fax
(615) 256-0198
NPI assigned
Sep 2, 2011
Last updated
Feb 12, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITED NEIGHBORHOOD HEALTH SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Brian Haile
Title
Ceo
Phone
(615) 227-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

639 Lafayette St
Nashville, TN 37203

Mailing address

2711 Foster Avenue
Nashville, TN 37210-5307
Phone (615) 620-7759

Other names 1

  • UNHS Mission Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323001640 TN Part B Supplier - Clinic/Group Practice 0042100091 Receives reassigned benefits from 65 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Nashville, TN; Lebanon, TN; Madison, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154602282. Details of each certification follow.

  • CCN 441948 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 441948

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
UNHS MISSION CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 10, 2012
Last certification
Apr 10, 2012
Ownership / control type
For profit – corporation
Facility address
639 Lafayette Street
Nashville, TN 37203

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
United Neighborhood Neighborhood Health Services Inc

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1154602282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 FOSTER AVENUE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372105307",
            "telephone_number": "615-620-7759",
            "fax_number": "615-515-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 LAFAYETTE ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37203",
            "telephone_number": "615-256-0197",
            "fax_number": "615-256-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED NEIGHBORHOOD HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED NEIGHBORHOOD HEALTH SERVICES, INC",
        "enumeration_date": "2011-09-02",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "HAILE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-227-3000"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNHS Mission Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.