National Provider Identifier Database

PREMIER FAMILY HEALTHCARE
Contractor

A contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.


Contact Information

PREMIER FAMILY HEALTHCARE
504 N JACKSON ST STE 103
TULLAHOMA, TN37388-3520
Phone: 931-841-3821
Fax: 931-841-3869
Website:
Specialty Taxonomy Code
* Contractor 171W00000X

* Indicates primary specialty

NPI Profile & details for PREMIER FAMILY HEALTHCARE

NPI Number 1912171265
Legal business name
LBN
PREMIER FAMILY HEALTHCARE
Authorized official ANDREA GORE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/17/2008
Last updated 02/05/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: APN08403
  • TN Medicaid: 1510611
  • TN Medicaid: 39293821
  • TN Other: 4176719 BLUE CROSS
  • TN Other: D02233 RR MC

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.

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