Mountain Region Family Medicine, Pc

LBN: Mountain Region Family Medicine, Pc
Mountain Region Family Medicine, Pc is an health care organization with primary practice located at 444 Clinchfield Street Ste 201, Kingsport TN 37660-3683. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mountain Region Family Medicine, Pc can be contacted via phone (423) 230-2100, or through Trent, Wanda Y via phone (423) 230-2109.

Contact Information

Primary practice address
444 Clinchfield Street Ste 201 Kingsport TN 37660-3683
Phone: (423) 230-2100
Fax: (423) 230-2112
Website:
Map and Directions
Authorized official contact:
Name: Trent, Wanda Y
Phone: (423) 230-2109

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Tennessee

Profile Details

NPI number 1831467067
LBN Legal business name Mountain Region Family Medicine, Pc
DBA Doing business as
Authorized official Trent, Wanda Y
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2011
Last updated Mar 10th, 2017 - about 8 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 1831467067 NPPES
Other 1003827205 NPI
Other 1538110309 NPI
Other 1154354900 NPI
Other 1164582862 NPI
Other 1528079910 NPI
Other 1548252638 NPI
Other 1861732968 NPI
Other 1881854594 NPI
Other 1356391098 NPI
Other 1477539542 NPI
MEDICAID 1526748 NPI
Other 1629089784 NPI
Other 1770534539 NPI
Other 1306897202 NPI
Other 1588676456 NPI
Other 3386406 NPI
Other 4312365 NPI

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