| Hardeman County Community Health Center | |
|
629 Nuckolls Rd Bolivar TN 38008-1599 | |
| (731) 658-3388 | |
| (731) 658-4079 |
| Full Name | Hardeman County Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 629 Nuckolls Rd, Bolivar, Tennessee |
| Authorized Official Name and Position | Mary Heinzen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7316593114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hardeman County Community Health Center Po Box 720 Bolivar TN 38008-0720 Ph: (731) 658-3388 | Hardeman County Community Health Center 629 Nuckolls Rd Bolivar TN 38008-1599 Ph: (731) 658-3388 |
| NPI Number | 1861468340 |
|---|---|
| Provider Enumeration Date | 02/24/2006 |
| Last Update Date | 04/30/2008 |
| Medicare PECOS PAC ID | 5799694147 |
|---|---|
| Medicare Enrollment ID | O20040615001290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861468340 | NPI | - | NPPES |
| 4448210 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Alan B Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063484129 PECOS PAC ID: 1759277213 Enrollment ID: I20040304000990 |
| Provider Name | John L Blankenship |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346222593 PECOS PAC ID: 2961491808 Enrollment ID: I20040507000128 |
| Provider Name | Mark S Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629170345 PECOS PAC ID: 0143203638 Enrollment ID: I20040607001438 |
| Provider Name | Aliya Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215026620 PECOS PAC ID: 7012996440 Enrollment ID: I20040719000417 |
| Provider Name | Stella M White-day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982766721 PECOS PAC ID: 9537137534 Enrollment ID: I20040917000716 |
| Provider Name | Laura K Melaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750450649 PECOS PAC ID: 5496706053 Enrollment ID: I20050201000872 |
| Provider Name | Michael L Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518984194 PECOS PAC ID: 0749294809 Enrollment ID: I20060127000857 |
| Provider Name | Kathy D Franklin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295715407 PECOS PAC ID: 0042223968 Enrollment ID: I20060719000136 |
| Provider Name | Armie W Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780626762 PECOS PAC ID: 2466451828 Enrollment ID: I20061212000400 |
| Provider Name | Katherine Lewis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730132499 PECOS PAC ID: 4284714551 Enrollment ID: I20071228000262 |
| Provider Name | Abubakar Naida |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235189408 PECOS PAC ID: 7315021573 Enrollment ID: I20080226000780 |
| Provider Name | Karen L Salvaggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851367197 PECOS PAC ID: 8820144058 Enrollment ID: I20090914000194 |
| Provider Name | Jeannie A Ferri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033205877 PECOS PAC ID: 5092758250 Enrollment ID: I20101117001262 |
| Provider Name | Rahaman O Suara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336123009 PECOS PAC ID: 1557557139 Enrollment ID: I20101122000506 |
| Provider Name | Samuel T Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427296276 PECOS PAC ID: 8527232941 Enrollment ID: I20111122000239 |
| Provider Name | Ellouise M Knox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841560927 PECOS PAC ID: 5799952032 Enrollment ID: I20120127000051 |
| Provider Name | Thomas J Caruthers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730138355 PECOS PAC ID: 9133376957 Enrollment ID: I20120830000406 |
| Provider Name | Keesha R Nathaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578842696 PECOS PAC ID: 0042458705 Enrollment ID: I20130607000576 |
| Provider Name | Charlene Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144621756 PECOS PAC ID: 8123240926 Enrollment ID: I20141111001752 |
| Provider Name | Melanie U Gilliland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730585878 PECOS PAC ID: 1658696513 Enrollment ID: I20150217001477 |
| Provider Name | Florida D Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003206657 PECOS PAC ID: 1850618141 Enrollment ID: I20150325002018 |
| Provider Name | Milicent Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487044244 PECOS PAC ID: 8426375544 Enrollment ID: I20150327002239 |
| Provider Name | Allison L Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174912968 PECOS PAC ID: 0749593309 Enrollment ID: I20150724012421 |
| Provider Name | Ann F Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639552896 PECOS PAC ID: 2769790062 Enrollment ID: I20151007000513 |
| Provider Name | Leland R Cornelius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760868590 PECOS PAC ID: 4981914876 Enrollment ID: I20151104002951 |
| Provider Name | Candice J Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629380639 PECOS PAC ID: 4082840533 Enrollment ID: I20160928002411 |
| Provider Name | Rebecca L Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366984239 PECOS PAC ID: 3678857471 Enrollment ID: I20170222002016 |
| Provider Name | Alisha D Kimber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619417714 PECOS PAC ID: 1850664186 Enrollment ID: I20170907001694 |
| Provider Name | Deborah D Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851828677 PECOS PAC ID: 7810242054 Enrollment ID: I20180612002203 |
| Provider Name | Stephanie D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518473123 PECOS PAC ID: 6901152057 Enrollment ID: I20180705001428 |
| Provider Name | Rebekah Rossetta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003381815 PECOS PAC ID: 9032450051 Enrollment ID: I20190401000894 |
| Provider Name | Richard Mast Reinhard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982606497 PECOS PAC ID: 7113161985 Enrollment ID: I20191202000244 |
| Provider Name | Merry Anna Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578101499 PECOS PAC ID: 1850720962 Enrollment ID: I20200410000045 |
| Provider Name | Judith A Tessema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083059265 PECOS PAC ID: 5294037842 Enrollment ID: I20210202001549 |
| Provider Name | Jacqueline Nicole Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437893336 PECOS PAC ID: 4789064221 Enrollment ID: I20220630001596 |
| Provider Name | Geraldine K Uche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851048227 PECOS PAC ID: 6608250790 Enrollment ID: I20220909000216 |
| Provider Name | Kristena Terry Partridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205533007 PECOS PAC ID: 9739539107 Enrollment ID: I20231227001718 |
Primecare Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 622 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-2120 | |
Hardeman County Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3388 Fax: 731-659-3131 | |
New Primecare Clinics, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 622 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-2120 Fax: 731-659-2909 | |
West Tennessee Medical Group Primary Care Bolivar Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 640 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3100 | |
Fast Pace Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1359 W Market St, Bolivar, TN 38008 Phone: 731-361-1003 Fax: 731-361-1004 | |
Unity Health & Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Tennessee St, Bolivar, TN 38008 Phone: 731-212-3196 Fax: 731-212-3193 | |
Hatchie Clinic P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-659-2273 Fax: 731-659-2777 |