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Contact Information

LIFE CARE PHYSICIAN SERVICES, LLC
3570 KEITH ST NW
CLEVELAND, TN37312-4309
 Phone: 423-473-5026
 Fax: 423-339-8323
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LIFE CARE PHYSICIAN SERVICES, LLC

NPI Number 1770807919
LBN Legal business name LIFE CARE PHYSICIAN SERVICES, LLC
Authorized official CINDY CROSS - (ASST. SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 03/17/2010
Last updated 10/20/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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