COMMUNITY CARE WALK IN CLINIC – NPI #1487756755
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

COMMUNITY CARE WALK IN CLINIC is a provider located in HARRIMAN, TN. NPPES has assigned the NPI number 1487756755 to COMMUNITY CARE WALK IN CLINIC on September 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COMMUNITY CARE WALK IN CLINIC” is a dba name, the actual legal business name for this organization is DOUGLAS CLARK. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMMUNITY CARE WALK IN CLINIC below.

NPI Profile for
DOUGLAS CLARK

NPI Number
1487756755
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DOUGLAS CLARK
Doing Business As (dba): COMMUNITY CARE WALK IN CLINIC
Primary location
2317 SOUTH ROANE STREET
HARRIMAN, TN 37748
Phone: (865) 590-0072 Fax: (865) 590-0069
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DOUGLAS CLARK
OWNER
Phone: (865) 590-0072
Updated
Identifiers

Identifiers for COMMUNITY CARE WALK IN CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAILROAD MCAREDB1921
MEDICAIDTN3723702
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.