Advanced Family Medical Center

LBN: Advanced Family Medical Center
Advanced Family Medical Center is an health care organization with primary practice located at 101 Main St N , Middleton TN 38052-3433. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Advanced Family Medical Center can be contacted via phone (731) 472-2147, or through Caicedo, William V via phone (731) 518-7391.

Contact Information

Primary practice address
101 Main St N Middleton TN 38052-3433
Phone: (731) 472-2147
Fax: (731) 472-2148
Website:
Map and Directions
Authorized official contact:
Name: Caicedo, William V Family Nurse Practitioner (FNP)
Phone: (731) 518-7391

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17787 Tennessee

Profile Details

NPI number 1467957126
LBN Legal business name Advanced Family Medical Center
DBA Doing business as
Authorized official Caicedo, William V Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2018
Last updated Feb 8th, 2019 - about 5 years ago

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 1467957126 NPPES
Tennessee MEDICAID Q001019

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