Cynthia Poortenga, Md Pc

LBN: Cynthia Poortenga, Md Pc
Cynthia Poortenga, Md Pc is an health care organization with primary practice located at 121 E Ravine Rd Ste 900, Kingsport TN 37660-3816. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Cynthia Poortenga, Md Pc can be contacted via phone (423) 230-4800, or through Poortenga, Cynthia L via phone (423) 230-4800.

Contact Information

Primary practice address
121 E Ravine Rd Ste 900 Kingsport TN 37660-3816
Fax: (423) 230-4808
Website:
Authorized official contact:
Name: Poortenga, Cynthia L Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X MD0000017131 Tennessee

Profile Details

NPI number 1922171149
LBN Legal business name Cynthia Poortenga, Md Pc
DBA Doing business as Cynthia Poortenga, Md Pc
Authorized official Poortenga, Cynthia L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 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 1922171149 NPPES
Tennessee MEDICAID 3372564
Tennessee MEDICAID 5645956
Tennessee Other 246269
Tennessee Other 4054392

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