# CLEVELAND MEDICAL CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLEVELAND MEDICAL CLINIC INC
- **Other names:** Hospitalist
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720149222
- **Legal business name:** CLEVELAND MEDICAL CLINIC INC
- **Authorized official:** DEBBIE BREWER (DIRECTOR)
- **Authorized official phone:** (615) 465-7000

## Contact information

- **Practice address:** 2305 CHAMBLISS AVE, CLEVELAND, TN 37320
- **Practice address phone:** (423) 559-6000
- **Practice address fax:** (423) 559-6653
- **Mailing address:** 7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
- **Mailing address phone:** (615) 465-7626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 08/13/2008