Stacey Michelin

LBN: Compassion Care Clinic
Stacey Michelin is an health care organization with primary practice located at 2443 Old Russellville Pike , Clarksville TN 37040. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Compassion Care Clinic can be contacted via phone (931) 542-9010, or through Michelin, Stacey via phone (806) 626-3760.

Contact Information

Primary practice address
2443 Old Russellville Pike Clarksville TN 37040
Phone: (931) 542-9010
Fax: (844) 557-9435
Website:
Map and Directions
Authorized official contact:
Name: Michelin, Stacey Family Nurse Practitioner (FNP)
Phone: (806) 626-3760

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1164982443
LBN Legal business name Compassion Care Clinic
DBA Doing business as Stacey Michelin
Authorized official Michelin, Stacey Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2019
Last updated Apr 4th, 2024 - about 2 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 1164982443 NPPES
Tennessee MEDICAID Q044516

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