West Tennessee Medical Group Hillview South Clinic

LBN: Martin Health
West Tennessee Medical Group Hillview South Clinic is an health care organization with primary practice located at 1135 Broadway Street , South Fulton TN 38257-2835. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Martin Health can be contacted via phone (731) 479-2606, or through Ross, James via phone (731) 541-6731.

Contact Information

Primary practice address
1135 Broadway Street South Fulton TN 38257-2835
Phone: (731) 479-2606
Fax: (731) 479-2610
Website:
Map and Directions
Authorized official contact:
Name: Ross, James
Phone: (731) 541-6731

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 0000000126 Tennessee
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1669876520
LBN Legal business name Martin Health
DBA Doing business as West Tennessee Medical Group Hillview South Clinic
Authorized official Ross, James
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2014
Last updated Aug 29th, 2018 - about 7 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 1669876520 NPPES
Tennessee MEDICAID 044-3449
Tennessee MEDICAID Q012738

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