DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CLOVER BOTTOM DEVELOPMENTAL CENTER

MEDICARE: CLOVER BOTTOM DEVELOPMENTAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy856TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942382270
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLOVER BOTTOM DEVELOPMENTAL CENTER
Provider Business Mailing Address
First Line : 275 STEWARTS FERRY PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-3325
Country : US
Telephone Number :
Fax Number : 615-231-5316
Provider Business Practice Location Address
First Line : 275 STEWARTS FERRY PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-3325
Country : US
Telephone Number : 615-231-5065
Fax Number : 615-231-5316
Authorized Official
Title or Position : PHARMACY DIRECTOR
Name : MR. CHARLES CASS
Credential :
Telephone Number : 615-231-5528
Provider Enumeration Date : 10/19/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1538724802 — PATRICIA T TIMI MD
Practice Location Address:
221 STEWARTS FERRY PIKE
NASHVILLE, TN
37214-3325
Practice Phone: 615-902-7400
Practice Fax: 615-902-7400
1790398337 — DR. TARA DUFFIE DNP, APRN
Practice Location Address:
221 STEWARTS FERRY PIKE
NASHVILLE, TN
37214-3325
Practice Phone: 615-902-7740
Practice Fax:
1659351542 — GAMAL S ESKANDER MD
Practice Location Address:
221 STEWARTS FERRY PIKE
NASHVILLE, TN
37214-3325
Practice Phone: 615-902-7400
Practice Fax:
1790873339 — DR. ALEXANDRE ATANASSOV KOUMTCHEV M.D.
Practice Location Address:
221 STEWARTS FERRY PIKE
NASHVILLE, TN
37214-3325
Practice Phone: 615-902-7400
Practice Fax:
1972664720 — JACKSON B WHITE M.D.
Practice Location Address:
221 STEWARTS FERRY PIKE
NASHVILLE, TN
37214-3325
Practice Phone: 615-902-7459
Practice Fax: 615-902-7706
1790832145 — KUNDA VAIKUNTH M.D.
Practice Location Address:
221 STEWARTS FERRY PIKE
NASHVILLE, TN
37214-3325
Practice Phone: 615-902-7461
Practice Fax:

Directions to “CLOVER BOTTOM DEVELOPMENTAL CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.