National Provider Identifier Database

FAMILY CARE CLINIC LLC
Rural Health


Contact Information

FAMILY CARE CLINIC LLC
306 N CHANCERY ST
MCMINNVILLE, TN37110-2048
Phone: 931-474-4700
Fax: 931-474-4701
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Clinical 1041C0700X
Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for FAMILY CARE CLINIC LLC

NPI Number 1780924456
Legal business name
LBN
FAMILY CARE CLINIC LLC
Authorized official THERESA HILL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/18/2013
Last updated 01/15/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • TN Medicaid: 3649680
  • TN Other: TN0101 AMERICHOICE
  • TN Other: 01032615 AMERIGROUP

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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