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Contact Information

MADISONVILLE PRIMARY CARE GROUP PLLC
3959 HIGHWAY 411
MADISONVILLE, TN37354-4417
 Phone: 423-442-2121
 Fax: 423-545-9556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for MADISONVILLE PRIMARY CARE GROUP PLLC

NPI # 1861780496
LBN Legal business name MADISONVILLE PRIMARY CARE GROUP PLLC
Authorized official GREGORY CAIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2011
Last updated 11/05/2024 - More than a year ago
Identifiers n/a
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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