NPIMap

Organization Active NPI

Progressivehealth Healthspot

  • Primary Care Clinic/Center
  • Portland, TN
National Provider Identifier
1902486731
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PROGRESSIVEHEALTH HEALTHSPOT
Practice address
160 Kirby Dr
Portland, TN 37148-2003
Phone
(615) 802-1414
Fax
(615) 802-1415
NPI assigned
Apr 14, 2021
Last updated
Apr 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Kevin M. Rainbolt, EMT-P(R), MBA
Title
Dir. of Employer Medical Solutions
Phone
(615) 830-4081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

160 Kirby Dr
Portland, TN 37148-2003

Mailing address

150 N Rosenberger Ave
Evansville, IN 47712-6503
Phone (812) 491-3856

National Provider Directory

National Provider Directory
Tax ID family
Progressivehealth Healthspot6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1902486731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N ROSENBERGER AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477126503",
            "telephone_number": "812-491-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 KIRBY DR",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371482003",
            "telephone_number": "615-802-1414",
            "fax_number": "615-802-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVEHEALTH HEALTHSPOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "RAINBOLT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIR. OF EMPLOYER MEDICAL SOLUTIONS",
        "authorized_official_telephone_number": "615-830-4081",
        "authorized_official_credential": "EMT-P(R), MBA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.