Gary Brown

LBN: Gary Brown
Gary Brown is an health care organization with primary practice located at 302 Broadway St , Martin TN 38237-2455. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as the primary health care specialty. Gary Brown can be contacted via phone (731) 587-0600, or through Page, Lisa Kay via phone (731) 693-3465.

Contact Information

Primary practice address
302 Broadway St Martin TN 38237-2455
Phone: (731) 587-0600
Fax: (731) 587-0600
Website:
Map and Directions
Authorized official contact:
Name: Page, Lisa Kay
Phone: (731) 693-3465

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1396200424
LBN Legal business name Gary Brown
DBA Doing business as
Authorized official Page, Lisa Kay
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2019
Last updated Feb 2nd, 2019 - about 5 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 1396200424 NPPES
Tennessee MEDICAID Q032646

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