Old Hickory Family Medicine

LBN: Brownsville Medical Clinic, P.A.
Old Hickory Family Medicine is an health care organization with primary practice located at 3363 N Highland Ave , Jackson TN 38305-3487. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Primary Care. Other Service Providers / Specialist is the primary health care specialty. Brownsville Medical Clinic, P.A. can be contacted via phone (731) 660-6828, or through White, Claudia via phone (731) 660-6828.

Contact Information

Primary practice address
3363 N Highland Ave Jackson TN 38305-3487
Fax: (731) 660-6820
Website:
Authorized official contact:
Name: White, Claudia

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X MD8895 Tennessee

Profile Details

NPI number 1508916206
LBN Legal business name Brownsville Medical Clinic, P.A.
DBA Doing business as Old Hickory Family Medicine
Authorized official White, Claudia
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 12th, 2007
Last updated Jul 9th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508916206 NPPES
Tennessee MEDICAID 3386790
Tennessee MEDICAID 3156270

Popular Providers