MCKENZIE MEDICAL CENTER PC; NPI #1023611241

Contact Information

MCKENZIE MEDICAL CENTER PC

1894 CEDAR ST
MCKENZIE, TN 38201-2206

Phone: 731-352-7907
Fax: 833-690-3848
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for MCKENZIE MEDICAL CENTER PC

NPI #	`1023611241`
LBN Legal business name	MCKENZIE MEDICAL CENTER PC
Authorized official	TAMMY ETHERIDGE - (CHIEF OPERATING OFFICER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/19/2020
Last updated	05/06/2024 - About 2 years ago
Identifiers	n/a

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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