Cleveland Medical Clinic Inc

LBN: Cleveland Medical Clinic Inc
Cleveland Medical Clinic Inc is an health care organization with primary practice located at 2305 Chambliss Ave Nw , Cleveland TN 37311-3847. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Neurology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is the primary health care specialty. Cleveland Medical Clinic Inc can be contacted via phone (423) 728-1650, or through Brewer, Debbie via phone (877) 892-9813.

Contact Information

Primary practice address
2305 Chambliss Ave Nw Cleveland TN 37311-3847
Phone: (423) 728-1650
Fax: (423) 728-1655
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Debbie
Phone: (877) 892-9813

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1457350951
LBN Legal business name Cleveland Medical Clinic Inc
DBA Doing business as
Authorized official Brewer, Debbie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 21st, 2022 - about 3 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 1457350951 NPPES
Tennessee MEDICAID 3710154
Tennessee Other 3035497

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