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
Phone: (731) 660-6828
Fax: (731) 660-6820
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508916206 | NPPES |
| Tennessee | MEDICAID | 3386790 | |
| Tennessee | MEDICAID | 3156270 |
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