Prodigal Primary Care Pc

LBN: Prodigal Primary Care Pc
Prodigal Primary Care Pc is an health care organization with primary practice located at 721 Highway 321 N Bld 3, Lenoir City TN 37771-5003. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Prodigal Primary Care Pc can be contacted via phone (865) 288-3754, or through Brickhouse, David E via phone (865) 288-3754.

Contact Information

Primary practice address
721 Highway 321 N Bld 3 Lenoir City TN 37771-5003
Phone: (865) 288-3754
Fax: (865) 394-6719
Website:
Map and Directions
Authorized official contact:
Name: Brickhouse, David E Physician's Assistant Certified (PA-C)
Phone: (865) 288-3754

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1306196530
LBN Legal business name Prodigal Primary Care Pc
DBA Doing business as
Authorized official Brickhouse, David E Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2012
Last updated Nov 1st, 2013 - about 12 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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