Mason Farms Byrdstown Medical Center

LBN: Clearwater Investments Inc Byrdstown Medical
Mason Farms Byrdstown Medical Center is an health care organization with primary practice located at 8401 Hwy 111 , Byrdstown TN 38549-1006. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Clearwater Investments Inc Byrdstown Medical can be contacted via phone (931) 864-3187, or through Johnson, Deedee via phone (931) 864-3187.

Contact Information

Primary practice address
8401 Hwy 111 Byrdstown TN 38549-1006
Phone: (931) 864-3187
Fax: (931) 864-7102
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Deedee
Phone: (931) 864-3187

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1679583801
LBN Legal business name Clearwater Investments Inc Byrdstown Medical
DBA Doing business as Mason Farms Byrdstown Medical Center
Authorized official Johnson, Deedee
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2006
Last updated Feb 11th, 2024 - about 9 months 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 1679583801 NPPES
Tennessee MEDICAID 3714746

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