FAMILY MEDICAL CLINIC OF TREZEVANT; NPI #1538703897

Contact Information

FAMILY MEDICAL CLINIC OF TREZEVANT

45 HURT ST
TREZEVANT, TN 38258-2505

Phone: 731-207-0323
Fax: 731-240-8065
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for FAMILY MEDICAL CLINIC OF TREZEVANT

NPI Number 1538703897

LBN Legal business name FAMILY MEDICAL CLINIC OF TREZEVANT

Authorized official DEBORAH LEGGETT - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/30/2019

Last updated 03/31/2022 - About 4 years ago

Identifiers

Medicaid

Q054230

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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FAMILY MEDICAL CLINIC OF TREZEVANT

Contact Information

Specialty

Rural Health

Primary Care

NPI Profile & details for FAMILY MEDICAL CLINIC OF TREZEVANT

Reviews for FAMILY MEDICAL CLINIC OF TREZEVANT