Coffee County Physician Group Pc

LBN: Coffee County Physician Group Pc
Coffee County Physician Group Pc is an health care organization with primary practice located at 481 Interstate Dr , Manchester TN 37355-3108. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as the primary health care specialty. Coffee County Physician Group Pc can be contacted via phone (931) 728-6354, or through Couch, Robert J via phone (931) 728-6354.

Contact Information

Primary practice address
481 Interstate Dr Manchester TN 37355-3108
Phone: (931) 728-6354
Fax: (931) 728-6354
Website:
Map and Directions
Authorized official contact:
Name: Couch, Robert J CEO
Phone: (931) 728-6354

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 0000000016 Tennessee

Profile Details

NPI number 1437164878
LBN Legal business name Coffee County Physician Group Pc
DBA Doing business as
Authorized official Couch, Robert J CEO
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1437164878 NPPES
Tennessee MEDICAID 3727643

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