AMG-SOUTHERN TENNESSEE LLC; NPI #1962743054

Contact Information

AMG-SOUTHERN TENNESSEE LLC

2578 MAIN ST
PALMER, TN 37365-2730

Phone: 931-779-3691
Fax: 931-779-3690
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for AMG-SOUTHERN TENNESSEE LLC

NPI Number	`1962743054`
LBN Legal business name	AMG-SOUTHERN TENNESSEE LLC
Authorized official	CHARLOTTE LAWRENCE - (SECRETARY)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	03/14/2013
Last updated	09/14/2024 - 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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