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Contact Information

HUMBOLDT FAMILY WALK-IN CLINIC LLC
2500 NORTH CENTRAL AVE,
SUITE D
HUMBOLDT, TN38343
 Phone: 731-470-4020
 Fax: 731-562-0349
 Website: https://www.humboldtfamilywalkinclinic.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for HUMBOLDT FAMILY WALK-IN CLINIC LLC

NPI Number 1881135895
LBN Legal business name HUMBOLDT FAMILY WALK-IN CLINIC LLC
Authorized official DEBORAH GRAVES - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/10/2017
Last updated 12/09/2019 - About 6 years 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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