A Pattern Medical Clinic

LBN: A Pattern Medical Clinic
A Pattern Medical Clinic is an health care organization with primary practice located at 5545 Little Debbie Pkwy , Ooltewah TN 37363-4357. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. A Pattern Medical Clinic can be contacted via phone (423) 455-2711, or through Luberisse, Annex via phone (660) 229-0858.

Contact Information

Primary practice address
5545 Little Debbie Pkwy Ooltewah TN 37363-4357
Fax: (423) 465-4589
Website:
Authorized official contact:
Name: Luberisse, Annex

Health care specialties

Profile Details

NPI number 1184102881
LBN Legal business name A Pattern Medical Clinic
DBA Doing business as
Authorized official Luberisse, Annex
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2018
Last updated Sep 6th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184102881 NPPES
Tennessee MEDICAID Q057324

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