# CAREHERE CLINIC-UTA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAREHERE LLC
- **Other names:** CAREHERE LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992162994
- **Legal business name:** CAREHERE LLC
- **Authorized official:** MR. ERNIE CLEVENGER (PRESIDENT)
- **Authorized official phone:** (615) 221-5901

## Contact information

- **Practice address:** 5141 VIRGINIA WAY STE 350, BRENTWOOD, TN 37027-2319
- **Practice address phone:** (615) 221-5901
- **Mailing address:** 5141 VIRGINIA WAY STE 350, BRENTWOOD, TN 37027-2319
- **Mailing address phone:** (615) 221-5901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 8431757-1205 | UT | Yes |

## Other

- **Enumeration date:** 01/21/2016
- **Last updated:** 01/21/2016