Acute Care Clinic Clarkrange

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

ACUTE CARE CLINIC CLARKRANGE

Doing business as

Acute Care Clinic Clarkrange

Practice address

6845 S York Hwy
Clarkrange, TN 38553-5102

Phone

(931) 863-5095

Fax

(931) 863-3530

NPI assigned

Nov 28, 2022

Last updated

Nov 28, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

ACUTE CARE CLINICS OF AMERICA, LLCAs reported in NPPES

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

Authorized official

Name

Tamara Eroh

Title

Credentialing Manager

Phone

(931) 200-2246

Specialties & licenses 2

Addresses

Other names 1

• Acute Care Clinic Clarkrange Doing business as

Part of

Acute Care Clinics of America LLC

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.

• Acute Care Clinics of America, LLC

  • General Practice Physician
  • Jamestown, TN
  • NPI 1780235564
  NPPES parent name

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1487364709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S DUNCAN ST",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563009",
            "telephone_number": "931-863-5095",
            "fax_number": "931-863-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 S YORK HWY",
            "city": "CLARKRANGE",
            "state": "TN",
            "postal_code": "385535102",
            "telephone_number": "931-863-5095",
            "fax_number": "931-863-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUTE CARE CLINIC CLARKRANGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACUTE CARE CLINICS OF AMERICA, LLC",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "EROH",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "931-200-2246"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acute Care Clinic Clarkrange",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Carol Beaty, PHARMD
• Garry Wayne Burks, PA
• Clarkrange Clinic LLC
• Benjamin A Evans, PHARM.D.
• Garretts Pharmacy Inc (Clarkrange Drug Center)

• Rural Health Clinic/Center in Clarkrange, TN
• Providers in Clarkrange, TN by specialty
• Rural Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.