Dyersburg Clinic Corp
LBN: Dyersburg Clinic Corp
Dyersburg Clinic Corp is an health care organization with primary practice located at 400 E Tickle St , Dyersburg TN 38024-3120. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Dyersburg Clinic Corp can be contacted via phone (731) 288-7250, or through Brewer, Debbie T via phone (615) 465-7626.
Contact Information
Primary practice address
400 E Tickle St
Dyersburg TN 38024-3120
Phone: (731) 288-7250
Fax: (731) 288-7258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Tennessee | |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ||
| Allopathic & Osteopathic Physicians / Urology | 208800000X |
Profile Details
| NPI number | 1093710568 |
|---|---|
| LBN Legal business name | Dyersburg Clinic Corp |
| DBA Doing business as | |
| Authorized official | Brewer, Debbie T |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Aug 25th, 2010 - about 14 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 | 1093710568 | NPPES |
| Tennessee | MEDICAID | 3718531 | |
| Tennessee | Other | 4085237 |
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