Westside Family Care Center

LBN: Family Care Center Llc
Westside Family Care Center is an health care organization with primary practice located at 207 W Locust St , Lafayette TN 37083-1710. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Family Care Center Llc can be contacted via phone (615) 666-6425, or through Ilia, Hanna C via phone (615) 666-6425.

Contact Information

Primary practice address
207 W Locust St Lafayette TN 37083-1710
Phone: (615) 666-6425
Fax: (615) 666-3261
Website:
Map and Directions
Authorized official contact:
Name: Ilia, Hanna C Doctor of Medicine (MD)
Phone: (615) 666-6425

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X MD30470 Tennessee

Profile Details

NPI number 1194918755
LBN Legal business name Family Care Center Llc
DBA Doing business as Westside Family Care Center
Authorized official Ilia, Hanna C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2007
Last updated Aug 27th, 2007 - about 18 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 1194918755 NPPES
Tennessee MEDICAID 3828728
Tennessee Other G82303
Tennessee Other 1205826526

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