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Contact Information

MATTHEW WALKER COMPREHENSIVE HEALTH CENTER, INC
230 DOVER RD
CLARKSVILLE, TN37042-4183
 Phone: 931-920-5000
 Fax: 615-320-6033
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for MATTHEW WALKER COMPREHENSIVE HEALTH CENTER, INC

NPI Number 1104008747
LBN Legal business name MATTHEW WALKER COMPREHENSIVE HEALTH CENTER, INC
Authorized official KATINA BEARD - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2007
Last updated 02/25/2022 - About 4 years ago
Identifiers
TN Medicaid 1513265
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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