Medsouth Healthcare Pc

LBN: Medsouth Healthcare Pc
Medsouth Healthcare Pc is an health care organization with primary practice located at 1700 Woodlawn Ave , Dyersburg TN 38024-2028. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Medsouth Healthcare Pc can be contacted via phone (731) 287-4500, or through Alred, David W via phone (731) 287-4512.

Contact Information

Primary practice address
1700 Woodlawn Ave Dyersburg TN 38024-2028
Phone: (731) 287-4500
Fax: (731) 287-4804
Website:
Map and Directions
Authorized official contact:
Name: Alred, David W
Phone: (731) 287-4512

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1578558698
LBN Legal business name Medsouth Healthcare Pc
DBA Doing business as
Authorized official Alred, David W
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1578558698 NPPES
Tennessee MEDICAID 3705380
Tennessee MEDICAID 3705385
Tennessee MEDICAID 3705383
Tennessee MEDICAID 3705386
Tennessee MEDICAID 3705388
Tennessee MEDICAID 3705389

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