Faith Healthcenter

LBN: Faith Health Center
Faith Healthcenter is an health care organization with primary practice located at 655 Lexington Ave , Jackson TN 38301-5075. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Faith Health Center can be contacted via phone (731) 215-2500, or through Larsen, David M via phone (731) 215-2500.

Contact Information

Primary practice address
655 Lexington Ave Jackson TN 38301-5075
Phone: (731) 215-2500
Fax: (731) 215-2500
Website:
Map and Directions
Authorized official contact:
Name: Larsen, David M Doctor of Medicine (MD)
Phone: (731) 215-2500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9731 Tennessee

Profile Details

NPI number 1740594217
LBN Legal business name Faith Health Center
DBA Doing business as Faith Healthcenter
Authorized official Larsen, David M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2010
Last updated Mar 17th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740594217 NPPES
Tennessee MEDICAID 3189311

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