| Riverside Community Care Clinic Of Tennessee Corp | |
|
341 Wallace Rd Ste B Nashville TN 37211-8001 | |
| (615) 866-2731 | |
| (615) 866-2732 |
| Full Name | Riverside Community Care Clinic Of Tennessee Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 341 Wallace Rd Ste B, Nashville, Tennessee |
| Authorized Official Name and Position | Steven Smith (MANAGER) |
| Authorized Official Contact | 5022449859 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Community Care Clinic Of Tennessee Corp 341 Wallace Rd Ste B Nashville TN 37211-8001 Ph: (615) 866-2731 | Riverside Community Care Clinic Of Tennessee Corp 341 Wallace Rd Ste B Nashville TN 37211-8001 Ph: (615) 866-2731 |
| NPI Number | 1134829815 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 02/08/2024 |
| Medicare PECOS PAC ID | 1658724075 |
|---|---|
| Medicare Enrollment ID | O20240201000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134829815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Barton K Spurlin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619917796 PECOS PAC ID: 0446215180 Enrollment ID: I20041122001260 |
| Provider Name | Yovondya Cutler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629432208 PECOS PAC ID: 5092005686 Enrollment ID: I20161108002321 |
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