Tracy Clinic

LBN: Grundy County Health Services, Inc.
Tracy Clinic is an health care organization with primary practice located at 740 Main St , Tracy City TN 37387-1449. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Grundy County Health Services, Inc. can be contacted via phone (931) 592-4242, or through Yarworth, Michael via phone (931) 592-4242.

Contact Information

Primary practice address
740 Main St Tracy City TN 37387-1449
Fax: (931) 592-4245
Website:
Authorized official contact:
Name: Yarworth, Michael

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000010476 Tennessee

Profile Details

NPI number 1770588683
LBN Legal business name Grundy County Health Services, Inc.
DBA Doing business as Tracy Clinic
Authorized official Yarworth, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2005
Last updated Dec 21st, 2022 - about 2 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 1770588683 NPPES
Tennessee MEDICAID Q078893

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