Community Quick Care

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

APN0000016043 Issued in TN

Legal business name

COMMUNITY QUICK CARE

Doing business as

Community Quick Care of Lebanon

Practice address

1670 W Main St Ste 140
Lebanon, TN 37087-1345

Phone

(615) 453-9492

Fax

(615) 453-9498

NPI assigned

Oct 17, 2014

Last updated

Oct 17, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

COMMUNITY QUICK CARE OF LAVERGNEAs reported in NPPES

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

Authorized official

Name

Mr. Jerry Eledge, RPH

Title

Ceo

Phone

(615) 943-5072

Specialties & licenses 1

Addresses

Other names 1

• Community Quick Care of Lebanon Doing business as

Tax ID family

Community Quick Care of Lavergne PC2 organizations share this tax ID, including this one

Part of

Community Quick Care of Lavergne PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Community Quick Care

  dba Community Quick Care of Columbia

  • Non-Pharmacy Dispensing Site
  • Columbia, TN
  • NPI 1083019608
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Community Quick Care of Lavergne, PC

  • Family Medicine Physician
  • La Vergne, TN
  • NPI 1194023366
  NPPES parent name

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1164826285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 W MAIN ST STE 140",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871345",
            "telephone_number": "615-453-9492",
            "fax_number": "615-453-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 W MAIN ST STE 140",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871345",
            "telephone_number": "615-453-9492",
            "fax_number": "615-453-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY QUICK CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY QUICK CARE OF LAVERGNE",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "ELEDGE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-943-5072",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "TN",
            "license": "APN0000016043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Quick Care of Lebanon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Harmon Claycomb, M.D.
• Billy Joe Clendenin, PHARM D
• Clover Mental Health LLC
• Amanda Jane Colson, A.P.N
• Community Progress Committee Inc. the Pavilion CPC
• Community Quick Care
• Complete Physical Therapy and Wellness, LLC
• Terah Dean Compton
• Concord Infectious Disease Associates, PC
• Maurice Consiglio, D.C.

• Non-Pharmacy Dispensing Site in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Non-Pharmacy Dispensing Site in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.