NPIMap

Organization Active NPI

Baptist Primary & Senior Healthcare Clinic Jefferson City

  • Clinic/Center
  • Jefferson City, TN
National Provider Identifier
1962637231
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BAPTIST PRIMARY & SENIOR HEALTHCARE CLINIC JEFFERSON CITY
Practice address
1413 Russell Ave
Jefferson City, TN 37760-2562
Phone
(865) 471-0314
Fax
(865) 475-3834
NPI assigned
May 15, 2009
Organization subpart
Yes
Parent organization
MERCY PHYSICIANS SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Authorized official

Name
Susanne Nelms
Title
Practice Administrator/Director
Phone
(865) 549-4892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1413 Russell Ave
Jefferson City, TN 37760-2562

Mailing address

1413 Russell Ave
Jefferson City, TN 37760-2562
Phone (865) 471-0314

National Provider Directory

National Provider Directory
Tax ID family
Mercy Women'S Center31 organizations share this tax ID, including this one
Part of
Mercy Women'S Center

Other organizations with this tax ID 30

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

View all 30

Locations

1413 Russell Ave
Jefferson Cty, TN 37760
Phone (865) 471-0314

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1962637231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 RUSSELL AVE",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602562",
            "telephone_number": "865-471-0314",
            "fax_number": "865-475-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 RUSSELL AVE",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602562",
            "telephone_number": "865-471-0314",
            "fax_number": "865-475-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST PRIMARY & SENIOR HEALTHCARE CLINIC JEFFERSON CITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY PHYSICIANS SERVICES, LLC",
        "enumeration_date": "2009-05-15",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "NELMS",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR/DIRECTOR",
        "authorized_official_telephone_number": "865-549-4892"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.