BRADLEY-POLK WALK-IN CLINIC; NPI #1770929333

Contact Information

BRADLEY-POLK WALK-IN CLINIC

119 WHITEWATER DR.
OCOEE, TN 37361

Phone: 423-299-9435
Fax: 423-299-9436
Website: http://www.bradleypolkwalkinclinic.com/

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Family	363LF0000X	50	Nurse Practitioner
Internal Medicine	207R00000X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for BRADLEY-POLK WALK-IN CLINIC

NPI Number 1770929333

LBN Legal business name BRADLEY-POLK WALK-IN CLINIC

Authorized official TAMI BREHEN - (CO-OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/21/2013

Last updated 11/08/2019 - About 7 years ago

Identifiers

TN	License #	APN15727
TN	Medicaid	Q002302

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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BRADLEY-POLK WALK-IN CLINIC

Contact Information

Specialty

Rural Health

Family

Internal Medicine

NPI Profile & details for BRADLEY-POLK WALK-IN CLINIC

Reviews for BRADLEY-POLK WALK-IN CLINIC