Organization
RIVERSIDE COMMUNITY CARE CLINIC OF TENNESSEE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN SMITH (MANAGER)
(502) 244-9859
Entity
Organization
Contact information
Practice address
341 WALLACE RD STE B, NASHVILLE, TN 37211-8001
(615) 866-2731
(615) 866-2732
Mailing address
341 WALLACE RD STE B, NASHVILLE, TN 37211-8001
(615) 866-2731
(615) 866-2732
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
02/08/2024
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