Matthew Walker Comprehensive Health Center, Inc | |
230 Dover Rd Clarksville TN 37042-4183 | |
(931) 920-5000 | |
(615) 320-6033 |
Full Name | Matthew Walker Comprehensive Health Center, Inc |
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Speciality | Clinic/Center |
Location | 230 Dover Rd, Clarksville, Tennessee |
Authorized Official Name and Position | Katina Beard (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6153401265 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Matthew Walker Comprehensive Health Center, Inc 1035 14th Ave N Nashville TN 37208-3050 Ph: (615) 327-9400 | Matthew Walker Comprehensive Health Center, Inc 230 Dover Rd Clarksville TN 37042-4183 Ph: (931) 920-5000 |
NPI Number | 1104008747 |
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Provider Enumeration Date | 12/05/2007 |
Last Update Date | 02/25/2022 |
Medicare PECOS PAC ID | 4082691456 |
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Medicare Enrollment ID | O20120824000047 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104008747 | NPI | - | NPPES |
1513265 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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