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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 Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for FAMILY CARE CLINIC LLC

NPI # 1780924456
LBN Legal business name FAMILY CARE CLINIC LLC
Authorized official THERESA HILL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/18/2013
Last updated 01/15/2021 - About 5 years ago
Identifiers
TN Medicaid 3649680
TN Other TN0101 AMERICHOICE
TN Other 01032615 AMERIGROUP
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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