Hometown Health Clinic
LBN: Mckenzie Medical Center, Pc
Hometown Health Clinic is an health care organization with primary practice located at 105 N Cedar St , Gleason TN 38229-7264. The organization recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Mckenzie Medical Center, Pc can be contacted via phone (731) 648-5634, or through Etheridge, Tammy via phone (731) 352-7907.
Contact Information
Primary practice address
105 N Cedar St
Gleason TN 38229-7264
Phone: (731) 648-5634
Fax: (833) 690-3848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODT1599 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD23833 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | APN15541 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN15541 | Tennessee |
Profile Details
| NPI number | 1225083991 |
|---|---|
| LBN Legal business name | Mckenzie Medical Center, Pc |
| DBA Doing business as | Hometown Health Clinic |
| Authorized official | Etheridge, Tammy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | May 6th, 2024 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225083991 | NPPES |
| Tennessee | MEDICAID | 3730458 | |
| Tennessee | Other | 3380640 | |
| Tennessee | Other | 3380640 |
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