NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

SOUTHERN CARE CLINIC LLC
1179 HIGHWAY 11W
BEAN STATION, TN37708-5809
 Phone: 865-898-8318
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for SOUTHERN CARE CLINIC LLC

NPI Number 1265771281
LBN Legal business name SOUTHERN CARE CLINIC LLC
Authorized official LATASHA JARNAGIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2013
Last updated 02/11/2013 - About 4 years ago
Identifiers
TN License # 13557
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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