Mckenzie Medical Center

LBN: Mckenzie Medical Center Lab
Mckenzie Medical Center is an health care organization with primary practice located at 205 Hospital Dr Suite A, Mc Kenzie TN 38201-1649. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health, Laboratories / Clinical Medical Laboratory. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mckenzie Medical Center Lab can be contacted via phone (731) 352-7907, or through Page, Lisa K via phone (731) 352-7907.

Contact Information

Primary practice address
205 Hospital Dr Suite A Mc Kenzie TN 38201-1649
Fax: (731) 352-4459
Website:
Authorized official contact:
Name: Page, Lisa K

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD23833 Tennessee
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Laboratories / Clinical Medical Laboratory 291U00000X MD23833 Tennessee

Profile Details

NPI number 1477747293
LBN Legal business name Mckenzie Medical Center Lab
DBA Doing business as Mckenzie Medical Center
Authorized official Page, Lisa K
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2007
Last updated Aug 27th, 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 1477747293 NPPES
Other 44D0315280 CLIA
MEDICAID 3380640 CLIA

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