PAULA VASSAR INC; NPI #1639151582

Contact Information

PAULA VASSAR INC

1720 E. REELFOOT AVENUE
SUITE 103
UNION CITY, TN 38261-6048

Phone: 731-885-6600
Fax: 731-885-9239
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	363LF0000X	50	Nurse Practitioner
Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for PAULA VASSAR INC

NPI # 1639151582

LBN Legal business name PAULA VASSAR INC

Authorized official PAULA VASSAR - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/16/2005

Last updated 12/05/2023 - About 3 years ago

Identifiers

TN	License #	APN00005325
TN	License #	RN0000041618
TN	Medicaid	3343233
	Other	7937258	AETNA
TN	Other	3160475	BCBS

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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