Family Medical Clinic Of Trezevant
LBN: Family Medical Clinic Of Trezevant
Family Medical Clinic Of Trezevant is an health care organization with primary practice located at 45 Hurt St , Trezevant TN 38258-2505. 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.
Family Medical Clinic Of Trezevant can be contacted via phone (731) 207-0323, or through Leggett, Deborah Kay via phone (731) 200-3001.
Contact Information
Primary practice address
45 Hurt St
Trezevant TN 38258-2505
Phone: (731) 207-0323
Fax: (731) 240-8065
Website:
Authorized official contact:
Name: Leggett, Deborah Kay Family Nurse Practitioner (FNP)
Phone: (731) 200-3001
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1538703897 |
|---|---|
| LBN Legal business name | Family Medical Clinic Of Trezevant |
| DBA Doing business as | |
| Authorized official | Leggett, Deborah Kay Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 30th, 2019 |
| Last updated | Mar 31st, 2022 - about 3 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 | 1538703897 | NPPES |
| Tennessee | MEDICAID | Q054230 |
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