Reelfoot Family Walk-In Clinic
LBN: Dyersburg Family Walk-In Clinic
Reelfoot Family Walk-In Clinic is an health care organization with primary practice located at 1954 St John Ave Suite 1, Dyersburg TN 38024. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Dyersburg Family Walk-In Clinic can be contacted via phone (731) 285-6110, or through Wright, Sheryl Lyn via phone (731) 285-6110.
Contact Information
Primary practice address
1954 St John Ave Suite 1
Dyersburg TN 38024
Phone: (731) 285-6110
Fax: (731) 285-6964
Website:
Authorized official contact:
Name: Wright, Sheryl Lyn Family Nurse Practitioner (FNP)
Phone: (731) 285-6110
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 111703 | Tennessee |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1174712780 |
|---|---|
| LBN Legal business name | Dyersburg Family Walk-In Clinic |
| DBA Doing business as | Reelfoot Family Walk-In Clinic |
| Authorized official | Wright, Sheryl Lyn Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 19th, 2007 |
| Last updated | Mar 16th, 2017 - about 8 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 | 1174712780 | NPPES |
| Tennessee | MEDICAID | 37424857 | |
| Tennessee | MEDICAID | 448913 | |
| Tennessee | MEDICAID | 448940 |
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