# BH SERVICES SOUTHEAST 1 PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Brownsville Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386488922
- **Authorized official:** SANDRA BAKERINK (DIRECTOR, PROVIDER ENROLLMENT/AO)
- **Authorized official phone:** (865) 500-1325

## Contact information

- **Practice address:** 2565 N WASHINGTON AVE, BROWNSVILLE, TN 38012-1610
- **Practice address phone:** (731) 772-4199
- **Mailing address:** 265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN 37919-4052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/19/2024
- **Last updated:** 12/04/2024