MARTIN CHILDREN'S CLINIC, LLC; NPI #1194049064

Contact Information

MARTIN CHILDREN'S CLINIC, LLC

130 COMMONS DR
MARTIN, TN 38237-3879

Phone: 731-587-5138
Fax: 731-587-0552
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Pediatrics	363LP0200X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for MARTIN CHILDREN'S CLINIC, LLC

NPI Number 1194049064

LBN Legal business name MARTIN CHILDREN'S CLINIC, LLC

Authorized official SHARON PAGE - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/22/2010

Last updated 05/09/2017 - About 9 years ago

Identifiers

License #

12549

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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MARTIN CHILDREN'S CLINIC, LLC

Contact Information

Specialty

Rural Health

Pediatrics

NPI Profile & details for MARTIN CHILDREN'S CLINIC, LLC

Reviews for MARTIN CHILDREN'S CLINIC, LLC