MEDINA FAMILY MEDICAL CLINIC PC; NPI #1609881150

Contact Information

MEDINA FAMILY MEDICAL CLINIC PC

209 GRACE CV
MEDINA, TN 38355-8785

Phone: 731-783-0400
Fax: 731-783-0402
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Family Medicine	207Q00000X	08	Physician/Family Practice
Internal Medicine	207R00000X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for MEDINA FAMILY MEDICAL CLINIC PC

NPI Number 1609881150

LBN Legal business name MEDINA FAMILY MEDICAL CLINIC PC

Authorized official MECHELLE PERRY - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/30/2006

Last updated 10/30/2025 - About 7 months ago

Identifiers

Medicaid

3727175

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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MEDINA FAMILY MEDICAL CLINIC PC

Contact Information

Specialty

Rural Health

Family Medicine

Internal Medicine

NPI Profile & details for MEDINA FAMILY MEDICAL CLINIC PC

Reviews for MEDINA FAMILY MEDICAL CLINIC PC