Mountain Peoples Health Councils Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Huntsville, TN
NPI 1720043615 · NPPES record last updated Jul 20, 2023
Key facts
- NPI
- 1720043615
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- MOUNTAIN PEOPLES HEALTH COUNCILS INC
- Practice address
- 3826 Norma Rd
Huntsville, TN 37756-4408 - Phone
- (423) 663-2920
- Fax
- (423) 663-3989
- NPI assigned
- Apr 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. James C Lovett
- Title
- Executive Director
- Phone
- (423) 286-4141
Owners & managing parties with NPI records 1
-
Allison Noelle Gilbert, P.T. MS
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 3
Practitioners 27
-
Edward W Capparelli, M.D.
-
Regina Elizabeth Carson, MSN, RN, APRN, CEN,
-
Robert Blake Lowe, D.O
-
Aimee Nicole Marlar, APRN
-
Sharon Kay Neal, APRN, FNP-BC
-
Shelby Potter, FNP
-
Jessica Lynn Sexton, APRN
-
Brittney Strunk, PA
-
Pamela Jeanne Thompson, M.S.
-
Kelly Ann Walker, NP-C
-
Jackie Wilson-Sharp, FNP
-
Leisha Danielle Foster, LMSW
-
Brandi Nicole Phillips, APRN
-
Irene Duck, DMD
-
Ashley Rose Fleck, DDS
-
Leonard J Martin, DDS
-
Grace Ellen Murphy, CFNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN
Federally qualified health center certification: CCN 441825
- Legal name
- MOUNTAIN PEOPLES HEALTH COUNCILS INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jun 1, 1992
- Last certification
- Jun 1, 1992
- Ownership / control type
- For profit – partnership
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 6, 1974 in TN
- Enrollment address
- 3826 Norma Rd
Huntsville, TN 37756-4408
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Phyllis Strunk |
Corporate Director |
Aug 12, 2010 | |
| Allison N Gilbert |
Corporate Director |
Jun 25, 2013 | |
| John Beaty |
Corporate Director |
Jun 25, 2013 | |
| Anna Rose Sexton |
Corporate Director |
Jul 1, 2010 | |
| Linda Lay |
Corporate Director |
Jul 1, 2010 | |
| Rick Keeton |
Corporate Director |
Jul 1, 2010 | |
| James Lovett |
Corporate Director | Dec 5, 2005 | |
| W-2 Managing Employee |
Dec 5, 2005 | 100% | |
| Operational/Managerial Control |
Dec 5, 2005 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040713001525 | TN | Part B Supplier - Clinic/Group Practice | 7517945678 |
Receives reassigned benefits from 28 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Huntsville, TN; Winfield, TN; Robbins, TN; Oneida, TN |
| O20100623000766 | TN | Part a Provider - Federally Qualified Health Center (FQHC) | 7517945678 | Practice locations: Huntsville, TN |
National Provider Directory
- Tax ID family
- Mountain People'S Health Councils Inc
Locations
3826 Norma Rd
Huntsville, TN 37756
Phone (423) 663-2900
715 Rugby Hwy
Robbins, TN 37852
Phone (423) 627-2782
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | LPC0000003740 | TN | |
| Clinical Social Worker |
1041C0700X | LSW0000006310 | TN | |
| Clinical Social Worker |
1041C0700X | LSW0000006084 | TN | |
| Family Medicine Physician |
207Q00000X | MD0000017308 | TN | |
| Family Medicine Physician |
207Q00000X | MD0000024202 | TN | |
| Family Medicine Physician |
207Q00000X | MD0000013549 | TN | |
| Federally Qualified Health Center (FQHC) | 261QF0400X | TN | Yes | |
| Physician Assistant |
363A00000X | PA0000002075 | TN | |
| Family Nurse Practitioner |
363LF0000X | APN0000008386 | TN | |
| Family Nurse Practitioner |
363LF0000X | APN0000013431 | TN | |
| Family Nurse Practitioner |
363LF0000X | APN0000005568 | TN | |
| Family Nurse Practitioner |
363LF0000X | APN0000017825 | TN | |
| Family Nurse Practitioner |
363LF0000X | APN0000016621 | TN | |
| Family Nurse Practitioner |
363LF0000X | APN0000006765 | TN |
Addresses
Primary practice location
3826 Norma Rd
Huntsville, TN 37756-4408
Mailing address
470 Industrial LN
Oneida, TN 37841-6294
Phone (423) 286-4141
Other practice location 1
474 Industrial Ln
Oneida, TN 37841-6294
Phone (423) 286-8600
Other practice location 2
715 Rugby Hwy
Robbins, TN 37852-3755
Phone (423) 627-2782
Other practice location 3
2974 Baker Hwy
Huntsville, TN 37756-3806
Phone (423) 663-9200
Other practice location 4
25677 Scott Hwy
Winfield, TN 37892-2293
Phone (423) 569-8064
Other practice location 5
460 Industrial Ln
Oneida, TN 37841-6294
Phone (423) 569-3800
Other names
- Area Health Center
Other providers in Huntsville, TN
- Lora J Litton
- Pamela Lloyd
- Raven Mechelle Massey
- Ann M Miller
- Amy Roxanne Montgomery
- Mountain Peoples Health Councils Inc.
- Leesa Ann Norris
- Pamela Susan Phillips
- Stephanie J Rayburn
- Dyron Rector
All providers in Huntsville, TN · Federally Qualified Health Center (FQHC) in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.