West Tennessee Medical Group Primary Care Martin

LBN: Martin Health
West Tennessee Medical Group Primary Care Martin is an health care organization with primary practice located at 143 Kennedy Drive , Martin TN 38237-3309. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Martin Health can be contacted via phone (731) 587-5321, or through Teague, Bartley via phone (731) 512-1277.

Contact Information

Primary practice address
143 Kennedy Drive Martin TN 38237-3309
Phone: (731) 587-5321
Fax: (731) 588-3229
Website:
Map and Directions
Authorized official contact:
Name: Teague, Bartley
Phone: (731) 512-1277

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X 0000000126 Tennessee
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1871034462
LBN Legal business name Martin Health
DBA Doing business as West Tennessee Medical Group Primary Care Martin
Authorized official Teague, Bartley
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2017
Last updated Oct 3rd, 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 1871034462 NPPES
Other 0757 MEDICARE PART B PTAN
MEDICAID 044-3452 MEDICARE PART B PTAN

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