Organization
MATTHEW WALKER COMPREHENSIVE HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATINA BEARD (CHIEF EXECUTIVE OFFICER)
(615) 340-1265
Entity
Organization
Contact information
Practice address
230 DOVER RD, CLARKSVILLE, TN 37042-4183
(931) 920-5000
(615) 320-6033
Mailing address
1035 14TH AVE N, NASHVILLE, TN 37208-3050
(615) 327-9400
(615) 327-2806
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513265
—
TN
Enumeration date
12/05/2007
Last updated
02/25/2022
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