Foundation Medical, Inc.

LBN: Foundation Medical, Inc.
Foundation Medical, Inc. is an health care organization with primary practice located at 1730 Old Gray Station Rd , Johnson City TN 37615-3869. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Foundation Medical, Inc. can be contacted via phone (423) 202-3008, or through Good, Jennifer Teague via phone (423) 202-3008.

Contact Information

Primary practice address
1730 Old Gray Station Rd Johnson City TN 37615-3869
Phone: (423) 202-3008
Fax: (423) 202-7835
Website:
Map and Directions
Authorized official contact:
Name: Good, Jennifer Teague
Phone: (423) 202-3008

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 1000000022019 Tennessee

Profile Details

NPI number 1336636158
LBN Legal business name Foundation Medical, Inc.
DBA Doing business as
Authorized official Good, Jennifer Teague
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2018
Last updated Jul 24th, 2019 - 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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