NPIMap

Organization Active NPI

Coalmont Clinic

  • Rural Health Clinic/Center
  • Coalmont, TN
National Provider Identifier
1336484500
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
COALMONT CLINIC
Practice address
38 Industrial Park Road
Coalmont, TN 37313
Phone
(931) 598-9761
NPI assigned
Nov 29, 2012
Last updated
Nov 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Loretta Fitzpatrick
Title
Consultant
Phone
(770) 943-5260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

38 Industrial Park Road
Coalmont, TN 37313

Mailing address

38 South Industrial Park Rd
Coalmont, TN 37313
Phone (931) 598-9761

National Provider Directory

National Provider Directory
Tax ID family
Cumberland Healthcare Group PLLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

38 S Industrial Park Rd
Coalmont, TN 37313
Phone (931) 598-9761

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1336484500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SOUTH INDUSTRIAL PARK RD",
            "city": "COALMONT",
            "state": "TN",
            "postal_code": "37313",
            "telephone_number": "931-598-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 INDUSTRIAL PARK ROAD",
            "city": "COALMONT",
            "state": "TN",
            "postal_code": "37313",
            "telephone_number": "931-598-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COALMONT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "770-943-5260"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coalmont, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.