Gateway Health System

LBN: Clarksville Health System Gp
Gateway Health System is an health care organization with primary practice located at 1771 Madison St , Clarksville TN 37043-4990. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. Clarksville Health System Gp can be contacted via phone (931) 552-6622, or through Hurley, Rebecca via phone (214) 473-3993.

Contact Information

Primary practice address
1771 Madison St Clarksville TN 37043-4990
Phone: (931) 552-6622
Fax: (931) 551-1027
Website:
Map and Directions
Authorized official contact:
Name: Hurley, Rebecca
Phone: (214) 473-3993

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X

Profile Details

NPI number 1003823097
LBN Legal business name Clarksville Health System Gp
DBA Doing business as Gateway Health System
Authorized official Hurley, Rebecca
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Jul 24th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003823097 NPPES
Tennessee MEDICAID 1003823097

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