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Contact Information

BH SERVICES SOUTHEAST 1 PC
2565 N WASHINGTON AVE
BROWNSVILLE, TN38012-1610
 Phone: 731-772-4199
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for BH SERVICES SOUTHEAST 1 PC

NPI Number 1164251526
LBN Legal business name BH SERVICES SOUTHEAST 1 PC
Authorized official SANDRA BAKERINK - (DIRECTOR OF PROVIDER ENROLLMENT/AO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2024
Last updated 01/22/2025 - 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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