# CLARKSVILLE HEALTH SYSTEM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vanderbilt Clarksville Hospital, Tennova Healthcare-Clarksville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285689794
- **Authorized official:** CECELIA B. MOORE (AUTHORIZED OFFICIAL/TREASURER)
- **Authorized official phone:** (615) 322-0084

## Contact information

- **Practice address:** 651 DUNLOP LN, CLARKSVILLE, TN 37040-5015
- **Practice address phone:** (931) 502-1000
- **Practice address fax:** (931) 502-1215
- **Mailing address:** 3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 261QR0206X | Mammography Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |
| 282N00000X | General Acute Care Hospital | 000000090 | TN | Yes |
| 333600000X | Pharmacy | 147 | TN | — |
| 3336I0012X | Institutional Pharmacy | 147 | TN | — |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 03/10/2026