Main Street Vital Care

LBN: Christy R Newbaker
Main Street Vital Care is an health care organization with primary practice located at 126 East Main Street , Newbern TN 38059. The organization recently has 10 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Christy R Newbaker can be contacted via phone (731) 627-2221, or through Newbaker, Christy R via phone (731) 627-2221.

Contact Information

Primary practice address
126 East Main Street Newbern TN 38059
Phone: (731) 627-2221
Fax: (731) 627-6152
Website:
Map and Directions
Authorized official contact:
Name: Newbaker, Christy R
Phone: (731) 627-2221

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0000000895 Tennessee
Suppliers / Customized Equipment 332BC3200X 0000000895 Tennessee
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 0000000895 Tennessee
Suppliers / Oxygen Equipment & Supplies 332BX2000X 0000000895 Tennessee
Suppliers / Pharmacy 333600000X 0000000895 Tennessee
Suppliers / Community/Retail Pharmacy 3336C0003X 0000000895 Tennessee
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 0000000895 Tennessee
Suppliers / Long Term Care Pharmacy 3336L0003X 0000000895 Tennessee
Suppliers / Mail Order Pharmacy 3336M0002X 0000000895 Tennessee
Suppliers / Specialty Pharmacy 3336S0011X 0000000895 Tennessee

Profile Details

NPI number 1912001017
LBN Legal business name Christy R Newbaker
DBA Doing business as Main Street Vital Care
Authorized official Newbaker, Christy R
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2006
Last updated Apr 20th, 2008 - about 16 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 1912001017 NPPES
Tennessee MEDICAID 1454920
Tennessee Other 164127
Tennessee MEDICAID 895
Tennessee Other 4102341
Tennessee Other 4102343

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