Clarksville Health System GP

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

Legal business name

CLARKSVILLE HEALTH SYSTEM GP

Doing business as

Tennova Healthcare-Clarksville

Practice address

651 Dunlop LN
Clarksville, TN 37040-5015

Phone

(915) 502-1000

NPI assigned

May 21, 2020

Last updated

Mar 29, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

CLARKSVILLE HEALTH SYSTEM GPAs reported in NPPES

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

Authorized official

Name

Paula Lalor

Title

Director

Phone

(629) 215-3953

Specialties & licenses 1

Addresses

Other names 1

• Tennova Healthcare-Clarksville Doing business as

Part of

Clarksville Health System GP

Locations

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.

• Clarksville Health System GP

  dba Gateway Medical Center Hospitalists

  • Hospitalist Physician
  • Clarksville, TN
  • NPI 1952581761
  NPPES parent name

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1427671718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 DUNLOP LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405015",
            "telephone_number": "915-502-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 DUNLOP LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405015",
            "telephone_number": "915-502-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE HEALTH SYSTEM GP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARKSVILLE HEALTH SYSTEM GP",
        "enumeration_date": "2020-05-21",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennova Healthcare-Clarksville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clarksville Eye Surgery Center
• Clarksville Family Chiropractic (Clarksville Chiropractic Center)
• Clarksville Family Therapy
• Clarksville Gastroenterology PC
• Clarksville Health System GP (Gateway Health System)
• Clarksville Health System GP (Gateway Health System)
• Clarksville Health System GP (Gateway Medical Center Hospitalists)
• Clarksville Health System, LLC (Tennova Healthcare-Clarksville)
• Clarksville Health System, LLC (Tennova Healthcare-Clarksville)
• Clarksville Home Care Services LLC (Tennova Hospice - Clarksville)

• Medicare Defined Swing Bed Hospital Unit in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Medicare Defined Swing Bed Hospital Unit in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.