NPIMap

Organization Active NPI

United Neighborhood Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Nashville, TN
National Provider Identifier
1467717306
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
Practice address
905 Main St
Nashville, TN 37206
Phone
(615) 227-3000
Fax
(615) 515-5773
NPI assigned
Jul 6, 2012
Organization subpart
No

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

905 Main St
Nashville, TN 37206

Mailing address

2711 Foster Ave
Nashville, TN 37210-5307
Phone (615) 227-3000

Other names 1

  • Main Street Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

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
O20090320000103 TN Part A Provider - Federally Qualified Health Center (FQHC) 0042100091 1 other NPI on this enrollment
Practice locations: Nashville, TN

Federally qualified health center certification: CCN 441930

Legal name
UNITED NEIGHBORHOOD HEALTH SERVICES, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 29, 2009
Last certification
May 29, 2009
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 31, 1978 in TN
Enrollment address
905 Main St
Nashville, TN 37206-3609

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Tax ID family
United Neighborhood Healt13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

905 Main St
Nashville, TN 37206

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John-David Thomas Individual OtherBoard Member Jan 1, 2019
Brian Haile Individual Corporate OfficerCeo Oct 1, 2017
Barb Zipperian Individual Corporate DirectorVice-President Jan 1, 2019
John E Baldwin Individual OtherBoard Member Sep 1, 2022
John Zirker Individual OtherBoard Member Jan 1, 2020
Ashia Cooper-Colquitt Individual Corporate DirectorTreasurer Jan 1, 2022
Amanda Lowe Individual OtherBoard Member Jan 1, 2018
Riley Macdonald Individual OtherBoard Member Jan 1, 2020
Angela Ballou Individual Corporate DirectorSecretary Jan 1, 2015
Brian Marshall Individual OtherBoard Member Jan 1, 2020
Brenda Morrow Individual Corporate DirectorBoard Secretary Aug 1, 2011
Nicholas Scudellari Individual OtherBoard Member Jan 1, 2022
James Comer Individual Other Jan 1, 2014
Luis Sura Individual Corporate DirectorSecretary Jan 1, 2020
Ivan Figueredo Individual Corporate OfficerCfo Jun 4, 2012
W-2 Managing EmployeeCfo Jun 4, 2012

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dickerson Pike Family ClinicNashville, TN, CCN 441935 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 31, 1978
Unhs - Lebanon ClinicLebanon, TN, CCN 441975 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Nov 4, 2015
Unhs - Inglewood ClinicNashville, TN, CCN 441976 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 28, 2015
Unhs - Unity Clinic (Casa)Nashville, TN, CCN 441977 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 14, 2013

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1467717306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 FOSTER AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372105307",
            "telephone_number": "615-227-3000",
            "fax_number": "615-227-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MAIN ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37206",
            "telephone_number": "615-227-3000",
            "fax_number": "615-515-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED NEIGHBORHOOD HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "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": "Main Street Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.