SDG PRIMARY AND IMMEDIATE CARE LLC; NPI #1225437585

Contact Information

SDG PRIMARY AND IMMEDIATE CARE LLC

201 S FRONT ST
HALLS, TN 38040-1547

Phone: 731-836-5617
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for SDG PRIMARY AND IMMEDIATE CARE LLC

NPI # 1225437585

LBN Legal business name SDG PRIMARY AND IMMEDIATE CARE LLC

Authorized official JEFFREY HAMPTON - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/21/2014

Last updated 01/31/2024 - About 2 years ago

Identifiers

Medicaid

Q007486

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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