NPIMap

Tennesee Department of Health

Organization Active NPI Public Health or Welfare Agency · Clarksville, TN

NPI 1649259367 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1649259367
Entity type
Organization (NPI type 2)
Primary specialty
Public Health or Welfare Agency 251K00000X
License
DS 4582 (TN)
Legal business name
TENNESEE DEPARTMENT OF HEALTH
Practice address
330 Pageant LN
Clarksville, TN 37040-3854
Phone
(931) 648-7280
Fax
(931) 648-7299
NPI assigned
Jan 11, 2006
Organization subpart
No

Authorized official

Name
Mrs. Andrea Shanks
Title
Credentialing Coordinator
Phone
(615) 650-7053

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
Trousdale County Health (202 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X DS 4582 TN Yes

Addresses

Primary practice location

330 Pageant LN
Clarksville, TN 37040-3854

Mailing address

1008 Rambling Brook Rd
Nashville, TN 37218-3608
Phone (615) 299-0750

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649259367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 RAMBLING BROOK RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372183608",
            "telephone_number": "615-299-0750",
            "fax_number": "615-299-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 PAGEANT LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403854",
            "telephone_number": "931-648-7280",
            "fax_number": "931-648-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESEE DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHANKS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "615-650-7053",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "TN",
            "license": "DS 4582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

All providers in Clarksville, TN · Public Health or Welfare Agency in Tennessee

Sources for this page

Verify at the official NPI Registry.