Organization Active NPI

Brownsville Medical Clinic, P.a.

Doing business as Medical Clinic Of Almo

  • Primary Care Clinic/Center
  • Alamo, TN
National Provider Identifier
1700936572
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BROWNSVILLE MEDICAL CLINIC, P.A.
Doing business as
Medical Clinic Of Almo
Practice address
18 N Cavalier Dr
Alamo, TN 38001-6468
Phone
(731) 696-4500
Fax
(731) 696-2152
NPI assigned
Jan 11, 2007
Last updated
Jul 9, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
BROWNSVILLE MEDICAL CLINIC, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Authorized official

Name
Claudia White
Title
Administrator
Phone
(731) 696-4500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

18 N Cavalier Dr
Alamo, TN 38001-6468

Mailing address

18 N Cavalier Dr
Alamo, TN 38001-6468
Phone (731) 696-4500

Other identifiers 2

IdentifierTypeStateIssuer
3386790MedicaidTN
3156276MedicaidTN

Other names 1

  • Medical Clinic Of Almo Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Medical Clinic of Alamo

Locations

1869 Highway 45 Byp
Ste 4
Jackson, TN 38305
Phone (731) 215-2277

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Aug 1, 2024 Change of OwnershipThis provider was the seller Medical Clinic of AlamoCCN 883811, TN, NPI 1568200806

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1700936572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N CAVALIER DR",
            "city": "ALAMO",
            "state": "TN",
            "postal_code": "380016468",
            "telephone_number": "731-696-4500",
            "fax_number": "731-696-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N CAVALIER DR",
            "city": "ALAMO",
            "state": "TN",
            "postal_code": "380016468",
            "telephone_number": "731-696-4500",
            "fax_number": "731-696-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSVILLE MEDICAL CLINIC, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROWNSVILLE MEDICAL CLINIC, P.A.",
        "enumeration_date": "2007-01-11",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "731-696-4500"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3386790",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3156276",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Clinic Of Almo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alamo, TN

Sources for this page

Verify at the official NPI Registry.