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Contact Information

UNICOI COUNTY FAMILY PRACTICE
108 GAY STREET
ERWIN, TN37650
 Phone: 423-743-8400
 Fax: 423-743-6888
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for UNICOI COUNTY FAMILY PRACTICE

NPI Number 1407940067
LBN Legal business name UNICOI COUNTY FAMILY PRACTICE
Authorized official DIANE CAMPBELL - (PRESIDENT OF CORPORATION)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 07/17/2008 - About 18 years ago
Identifiers
TN License # 25069
TN Medicaid 4004557
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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