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Contact Information

HEARTLAND MEDICAL P.C.
309 N BROAD ST
NEW TAZEWELL, TN37825-6600
 Phone: 423-626-7297
 Fax: 423-851-4704
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

261QP2300X
 

Rural Health

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

NPI Profile & details for HEARTLAND MEDICAL P.C.

NPI # 1508965682
LBN Legal business name HEARTLAND MEDICAL P.C.
Authorized official PAT FUGATE - (CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2006
Last updated 07/18/2008 - About 18 years ago
Identifiers
TN Medicaid 3715984
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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