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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912001017 | NPPES |
| Tennessee | MEDICAID | 1454920 | |
| Tennessee | Other | 164127 | |
| Tennessee | MEDICAID | 895 | |
| Tennessee | Other | 4102341 | |
| Tennessee | Other | 4102343 |
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