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Contact Information

ADVANCED FAMILY MEDICAL CENTER
101 MAIN ST N
MIDDLETON, TN38052-3433
 Phone: 731-472-2147
 Fax: 731-472-2148
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ADVANCED FAMILY MEDICAL CENTER

NPI Number 1467957126
LBN Legal business name ADVANCED FAMILY MEDICAL CENTER
Authorized official WILLIAM CAICEDO - (NP)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2018
Last updated 02/08/2019 - About 7 years ago
Identifiers
TN License # 17787
TN Medicaid Q001019
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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