National Provider Identifier Database

MCKENZIE MEDICAL CENTER PC
Rural Health

Contact Information

MCKENZIE MEDICAL CENTER PC
205A HOSPITAL DR
MCKENZIE, TN  38201-1649
Phone: 731-352-7907
Fax: 833-690-3848
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Clinical 1041C0700X
Family 363LF0000X
Internal Medicine 207R00000X
Marriage & Family Therapist 106H00000X
Optometrist 152W00000X
Pediatrics 208000000X
Physician Assistant 363A00000X
Psychiatric/Mental Health 363LP0808X

* Indicates primary specialty

NPI Profile & details for MCKENZIE MEDICAL CENTER PC

NPI Number 1477516953
Legal business name
LBN		 MCKENZIE MEDICAL CENTER PC
Authorized official TAMMY ETHERIDGE - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart No
Enumeration date 04/07/2006
Last updated 12/03/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: APN6244
  • TN License #: LMFT917
  • TN License #: LSW5620
  • TN License #: MD15682
  • TN License #: MD46412
  • TN License #: ODT441
  • TN License #: PA1503
  • TN Other: 3380640 GROUP MEDICAID
  • TN Other: 3380640 GROUP MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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