National Provider Identifier Database

MARTIN HEALTH
Rural Health


Contact Information

MARTIN HEALTH
143 KENNEDY DRIVE
MARTIN, TN38237-3309
Phone: 731-587-5321
Fax: 731-588-3229
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family Medicine 207Q00000X
Internal Medicine 207R00000X
Nurse Practitioner 363L00000X

* Indicates primary specialty

NPI Profile & details for MARTIN HEALTH

NPI Number 1871034462
Legal business name
LBN
MARTIN HEALTH
Authorized official BARTLEY TEAGUE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/15/2017
Last updated 10/03/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 0000000126
  • TN Medicaid: 044-3452
  • Other: 0757 MEDICARE PART B PTAN

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.

Reviews for MARTIN HEALTH

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