Hometown Health Clinic

LBN: Mckenzie Medical Center Pc
Hometown Health Clinic is an health care organization with primary practice located at 205A Hospital Dr , Mc Kenzie TN 38201-1649. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, 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) 352-7907, or through Etheridge, Tammy via phone (731) 352-7907.

Contact Information

Primary practice address
205A Hospital Dr Mc Kenzie TN 38201-1649
Phone: (731) 352-7907
Fax: (833) 690-3848
Website:
Map and Directions
Authorized official contact:
Name: Etheridge, Tammy
Phone: (731) 352-7907

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW5620 Tennessee
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT917 Tennessee
Eye and Vision Services Providers / Optometrist 152W00000X ODT441 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD15682 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD46412 Tennessee
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1503 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN6244 Tennessee

Profile Details

NPI number 1477516953
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 Apr 7th, 2006
Last updated May 6th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477516953 NPPES
Tennessee Other 3380640 GROUP MEDICAID
Tennessee Other 3380640 GROUP MEDICAID

Popular Providers