Provider Demographics
NPI:1497881569
Name:WALK-IN MEDICAL CENTER OF COOL SPRINGS
Entity Type:Organization
Organization Name:WALK-IN MEDICAL CENTER OF COOL SPRINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:RUDGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-771-8858
Mailing Address - Street 1:9040 CAROTHERS PKWY
Mailing Address - Street 2:SUITE A205
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6306
Mailing Address - Country:US
Mailing Address - Phone:615-771-8858
Mailing Address - Fax:615-771-8859
Practice Address - Street 1:9040 CAROTHERS PKWY
Practice Address - Street 2:SUITE A205
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6306
Practice Address - Country:US
Practice Address - Phone:615-771-8858
Practice Address - Fax:615-771-8859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD015449261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNDC8752Medicare ID - Type UnspecifiedRAILROAD
TN3726891Medicare ID - Type Unspecified