Healthy Life Clinic, Inc.

LBN: Healthy Life Clinic, Inc.
Healthy Life Clinic, Inc. is an health care organization with primary practice located at 110 Perimeter Park Rd. Suite G, Knoxville TN 37922-2200. 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. Healthy Life Clinic, Inc. can be contacted via phone (865) 247-6340, or through Bickford, Gary R. via phone (865) 247-6340.

Contact Information

Primary practice address
110 Perimeter Park Rd. Suite G Knoxville TN 37922-2200
Phone: (865) 247-6340
Fax: (865) 951-2617
Website:
Map and Directions
Authorized official contact:
Name: Bickford, Gary R. FNP-BC
Phone: (865) 247-6340

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000012264 Tennessee

Profile Details

NPI number 1437389731
LBN Legal business name Healthy Life Clinic, Inc.
DBA Doing business as
Authorized official Bickford, Gary R. FNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2009
Last updated Jan 27th, 2012 - about 12 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 1437389731 NPPES
Tennessee MEDICAID 1517282

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