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Contact Information

HEARLAND MEDICAL P C
170 BEECH STREET
SUITE 1
HARROGATE, TN37752
 Phone: 423-626-7297
 Fax: 423-851-4704
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for HEARLAND MEDICAL P C

NPI # 1306938352
LBN Legal business name HEARLAND MEDICAL P C
Authorized official PAT FUGATE - (CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
TN Medicaid 3715983
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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