Preferred Family Medical Care Llc
LBN: Preferred Family Medical Care Llc
Preferred Family Medical Care Llc is an health care organization with primary practice located at 9026 Hiwassee St Ne , Charleston TN 37310-5305. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Sleep Disorder Diagnostic. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Preferred Family Medical Care Llc can be contacted via phone (423) 665-3666, or through Kidd, Keith L via phone (423) 665-3666.
Contact Information
Primary practice address
9026 Hiwassee St Ne
Charleston TN 37310-5305
Phone: (423) 665-3666
Fax: (423) 584-6747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | Tennessee | |
| Ambulatory Health Care Facilities / Sleep Disorder Diagnostic | 261QS1200X |
Profile Details
| NPI number | 1699188029 |
|---|---|
| LBN Legal business name | Preferred Family Medical Care Llc |
| DBA Doing business as | |
| Authorized official | Kidd, Keith L FNP-BC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 3rd, 2014 |
| Last updated | Oct 11th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699188029 | NPPES |
| Tennessee | MEDICAID | Q007277 |
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