Kingsport Primary Care, Pc

LBN: Kingsport Primary Care, Pc
Kingsport Primary Care, Pc is an health care organization with primary practice located at 1526 Bridgewater Ln , Kingsport TN 37660-4106. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Kingsport Primary Care, Pc can be contacted via phone (423) 246-0033, or through Mclain, Scott D via phone (423) 246-0033.

Contact Information

Primary practice address
1526 Bridgewater Ln Kingsport TN 37660-4106
Phone: (423) 246-0033
Fax: (423) 245-0034
Website:
Map and Directions
Authorized official contact:
Name: Mclain, Scott D Doctor of Medicine (MD)
Phone: (423) 246-0033

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X MD11895 Tennessee

Profile Details

NPI number 1023186145
LBN Legal business name Kingsport Primary Care, Pc
DBA Doing business as
Authorized official Mclain, Scott D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Oct 7th, 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 1023186145 NPPES
Tennessee MEDICAID 3732429
Tennessee Other 3732429
Tennessee Other 2403604

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