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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 Specialty Code Provider Type

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for PREMIER FAMILY HEALTHCARE

NPI # 1912171265
LBN Legal business name PREMIER FAMILY HEALTHCARE
Authorized official ANDREA GORE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2008
Last updated 02/05/2014 - About 12 years ago
Identifiers
TN License # APN08403
TN Medicaid 1510611
TN Medicaid 39293821
TN Other 4176719 BLUE CROSS
TN Other D02233 RR MC
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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