Premier Childrens Healthcare Pc

LBN: Premier Childrens Healthcare Pc
Premier Childrens Healthcare Pc is an health care organization with primary practice located at 1029 West Main St Suite M, Lebanon TN 37087. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Premier Childrens Healthcare Pc can be contacted via phone (615) 453-9492, or through Kellum, Stacy via phone (615) 453-9492.

Contact Information

Primary practice address
1029 West Main St Suite M Lebanon TN 37087
Phone: (615) 453-9492
Fax: (615) 453-9498
Website:
Map and Directions
Authorized official contact:
Name: Kellum, Stacy
Phone: (615) 453-9492

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1851491609
LBN Legal business name Premier Childrens Healthcare Pc
DBA Doing business as
Authorized official Kellum, Stacy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Apr 8th, 2010 - about 15 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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