Hometown Health Clinic

LBN: Mckenzie Medical Center, Pc
Hometown Health Clinic is an health care organization with primary practice located at 811 Morrow St Ste 207 , Dresden TN 38225-1847. The organization recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center, 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) 364-4900, or through Etheridge, Tammy via phone (731) 352-7907.

Contact Information

Primary practice address
811 Morrow St Ste 207 Dresden TN 38225-1847
Phone: (731) 364-4900
Fax: (833) 690-3848
Website:
Map and Directions
Authorized official contact:
Name: Etheridge, Tammy
Phone: (731) 352-7907

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODT1599 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD23833 Tennessee
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1262 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN14751 Tennessee

Profile Details

NPI number 1609101534
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 Oct 9th, 2009
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609101534 NPPES
Tennessee Other 3380640 GROUP MEDICARE NUMBER
Tennessee MEDICAID Q018764 GROUP MEDICARE NUMBER
Tennessee Other 3380640 GROUP MEDICARE NUMBER

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