| NPI | 1104008747 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-12-05 |
| Last Updated | 2022-02-25 |
| Authorized Official | Katina Beard Chief Executive Officer Phone: 6153401265 |
| Mailing Address | 1035 14th Ave N Nashville, TN 37208-3050 United States Phone: (615) 327-9400 | Fax: (615) 327-2806 📍 View Map |
| Primary Practice Address | 230 Dover Rd Clarksville, TN 37042-4183 United States Phone: (931) 920-5000 | Fax: (615) 320-6033 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TN | 1513265 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | — | — |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1104008747
Matthew Walker Comprehensive Health Center, Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1104008747. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Clarksville, TN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-12-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104008747?
NPI 1104008747 belongs to Matthew Walker Comprehensive Health Center, Inc, a Clinic/Center, Federally Qualified Health Center (FQHC) in Clarksville, TN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104008747 active?
The current status of NPI 1104008747 in the NPPES registry is Active. The record was last updated on 2022-02-25.
What specialty is NPI 1104008747?
NPI 1104008747 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104008747?
You can verify NPI 1104008747 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104008747?
The primary practice address on file for NPI 1104008747 is 230 Dover Rd, Clarksville, TN 37042-4183. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104008747 issued?
NPI 1104008747 was first issued (enumerated) on 2007-12-05. The NPPES record was last updated on 2022-02-25.
Practice Location Map
Matthew Walker Comprehensive Health Center, Inc is located at 230 Dover Rd, Clarksville, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Matthew Walker Comprehensive Health Center, Inc. All records sourced from the CMS NPPES registry.