Peabody Family Care, Pc

LBN: Peabody Family Care, Pc
Peabody Family Care, Pc is an health care organization with primary practice located at 1325 Eastmoreland Avenue Suite 150, Memphis TN 38104-3519. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Peabody Family Care, Pc can be contacted via phone (901) 725-0648, or through Alexander, Pam via phone (901) 756-5565.

Contact Information

Primary practice address
1325 Eastmoreland Avenue Suite 150 Memphis TN 38104-3519
Phone: (901) 725-0648
Fax: (901) 725-1037
Website:
Map and Directions
Authorized official contact:
Name: Alexander, Pam
Phone: (901) 756-5565

Health care specialties

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

Profile Details

NPI number 1023057437
LBN Legal business name Peabody Family Care, Pc
DBA Doing business as
Authorized official Alexander, Pam
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2006
Last updated Oct 12th, 2011 - about 13 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 1023057437 NPPES
Mississippi MEDICAID 09015606
Mississippi MEDICAID 3723978
Mississippi Other CG9962
Mississippi Other 8P078

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