Organization Active NPI

Bedrockhc at Spring Meadows LLC

  • Rehabilitation Clinic/Center
  • Clarksville, TN
National Provider Identifier
1760037584
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
BEDROCKHC AT SPRING MEADOWS LLC
Practice address
220 Highway 76
Clarksville, TN 37043-4102
Phone
(931) 552-0181
Fax
(931) 552-9683
NPI assigned
Aug 8, 2019
Last updated
Aug 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Authorized official

Name
Kenneth D Nichols
Title
Manager
Phone
(813) 777-4663

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X
Physical Therapy Clinic/Center 261QP2000X
Rehabilitation Clinic/Center 261QR0400X Primary
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

220 Highway 76
Clarksville, TN 37043-4102

Mailing address

220 Highway 76
Clarksville, TN 37043-4102
Phone (931) 552-0181

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1760037584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HIGHWAY 76",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434102",
            "telephone_number": "931-552-0181",
            "fax_number": "931-552-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HIGHWAY 76",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434102",
            "telephone_number": "931-552-0181",
            "fax_number": "931-552-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDROCKHC AT SPRING MEADOWS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-777-4663"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.