Organization
MATTHEW WALKER COMPREHENSIVE HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATINA R BEARD (CHIEF EXECUTIVE OFFICER)
(615) 327-9400
Entity
Organization
Contact information
Practice address
1035 14TH AVE N, NASHVILLE, TN 37208
(615) 327-9400
Mailing address
1035 14TH AVENUE NORTH, NASHVILLE, TN 37208-3050
(615) 340-1292
(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
—
3340187
—
TN
01
—
4410217
NABP
TN
Enumeration date
12/22/2006
Last updated
02/25/2022
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