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Contact Information

WADE FAMILY MEDICINE, LLC.
899 HIGHWAY 51 S
COVINGTON, TN38019-2568
 Phone: 901-244-4646
 Fax: 901-244-4647
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Primary Care

261QP2300X
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for WADE FAMILY MEDICINE, LLC.

NPI # 1629586375
LBN Legal business name WADE FAMILY MEDICINE, LLC.
Authorized official MODEANNA WADE - (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date 01/16/2018
Last updated 07/09/2024 - More than a year ago
Identifiers
TN License # 16204
TN Medicaid 1525986
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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