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Contact Information

PRI-MED INCORPORATED
1918 EXETER RD
STE-2
GERMANTOWN, TN38138-2970
 Phone: 901-624-5911
 Fax: 901-624-5637
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for PRI-MED INCORPORATED

NPI Number 1235130816
LBN Legal business name PRI-MED INCORPORATED
Authorized official MAX GRAY - (GENERAL MANAGEER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/09/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
TN Medicaid 1454502
AR Other 99663 BCBS-AR
TN Other 4087579 BCBS-TN
TN Other 158399 BETTER HEALTH PLAN
TN Other 32656 TLC FAMILY HEALTH PLANS
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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