NPIMap

Organization Active NPI

Acute Care Clnic Inc

  • Clinic/Center
  • Crossville, TN
National Provider Identifier
1811392145
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ACUTE CARE CLNIC INC
Practice address
131 S Webb Ave
Crossville, TN 38555-8452
Phone
(931) 484-5379
Fax
(931) 484-5946
NPI assigned
Oct 29, 2014
Last updated
Jul 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Jill K Denney, PA-CNPI 1851441679
Title
Owner
Phone
(931) 484-5379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

131 S Webb Ave
Crossville, TN 38555-8452

Mailing address

131 S Webb Ave
Crossville, TN 38555-8452
Phone (931) 484-5379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150519002362 TN Part B Supplier - Clinic/Group Practice 8022338862 Receives reassigned benefits from 4 practitioners
Practice locations: Crossville, TN

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

102 Old Jefferson St
Celina, TN 38551
Phone (931) 243-3576

131 S Webb Ave
Ste 101
Crossville, TN 38555
Phone (931) 484-5379

100 S Duncan St
Jamestown, TN 38556
Phone (931) 752-2273

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1811392145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S WEBB AVE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385558452",
            "telephone_number": "931-484-5379",
            "fax_number": "931-484-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S WEBB AVE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385558452",
            "telephone_number": "931-484-5379",
            "fax_number": "931-484-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUTE CARE CLNIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "DENNEY",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-484-5379",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.