Broadway Family Practice

LBN: Broadway Family Practice
Broadway Family Practice is an health care organization with primary practice located at 1179 Highway 11W , Bean Station TN 37708. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Broadway Family Practice can be contacted via phone (865) 993-1070, or through Shultz, Shannon via phone (865) 993-1070.

Contact Information

Primary practice address
1179 Highway 11W Bean Station TN 37708
Phone: (865) 993-1070
Fax: (865) 993-1075
Website:
Map and Directions
Authorized official contact:
Name: Shultz, Shannon
Phone: (865) 993-1070

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1578092938
LBN Legal business name Broadway Family Practice
DBA Doing business as
Authorized official Shultz, Shannon
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2017
Last updated Jul 21st, 2022 - about 2 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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