Heartland Medical P.C.

LBN: Heartland Medical P.C.
Heartland Medical P.C. is an health care organization with primary practice located at 309 N Broad St , New Tazewell TN 37825-6600. 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 / Primary Care is the primary health care specialty. Heartland Medical P.C. can be contacted via phone (423) 626-7297, or through Fugate, Pat G via phone (423) 626-7297.

Contact Information

Primary practice address
309 N Broad St New Tazewell TN 37825-6600
Phone: (423) 626-7297
Fax: (423) 851-4704
Website:
Map and Directions
Authorized official contact:
Name: Fugate, Pat G
Phone: (423) 626-7297

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1508965682
LBN Legal business name Heartland Medical P.C.
DBA Doing business as
Authorized official Fugate, Pat G
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 18th, 2008 - about 17 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 1508965682 NPPES
Tennessee MEDICAID 3715984

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