Ridgecrest Medical Llc

LBN: Ridgecrest Medical Llc
Ridgecrest Medical Llc is an health care organization with primary practice located at 1907 W Morris Blvd Suite 300A, Morristown TN 37813-3860. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Ridgecrest Medical Llc can be contacted via phone (423) 353-1152, or through Mills, Priscilla via phone (423) 353-1152.

Contact Information

Primary practice address
1907 W Morris Blvd Suite 300A Morristown TN 37813-3860
Phone: (423) 353-1152
Fax: (423) 353-1157
Website:
Map and Directions
Authorized official contact:
Name: Mills, Priscilla
Phone: (423) 353-1152

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 962 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 962 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 962 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19037 Tennessee

Profile Details

NPI number 1124421847
LBN Legal business name Ridgecrest Medical Llc
DBA Doing business as
Authorized official Mills, Priscilla
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2014
Last updated Oct 8th, 2014 - about 11 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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