East Tennessee Primary Care, Inc
LBN: East Tennessee Primary Care, Inc
East Tennessee Primary Care, Inc is an health care organization with primary practice located at 3300 Wilcox Blvd. , Chattanooga TN 37411. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
East Tennessee Primary Care, Inc can be contacted via phone (423) 803-9180, or through Dunbar-Davies, Winnifred via phone (423) 778-5584.
Contact Information
Primary practice address
3300 Wilcox Blvd.
Chattanooga TN 37411
Phone: (423) 803-9180
Fax: (423) 803-9181
Website:
Authorized official contact:
Name: Dunbar-Davies, Winnifred Doctor of Medicine (MD)
Phone: (423) 778-5584
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27162 | Tennessee |
Profile Details
| NPI number | 1184801631 |
|---|---|
| LBN Legal business name | East Tennessee Primary Care, Inc |
| DBA Doing business as | |
| Authorized official | Dunbar-Davies, Winnifred Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 28th, 2008 |
| Last updated | Jan 11th, 2017 - about 7 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 | 1184801631 | NPPES |
| Tennessee | Other | 44104835 | TENNCARE SELECT |
| Tennessee | Other | 4104835 | TENNCARE SELECT |
| Tennessee | Other | 5487562 | TENNCARE SELECT |
| Tennessee | Other | TN0101 | TENNCARE SELECT |
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