Skyline Primary Care Llc

LBN: Skyline Primary Care Llc
Skyline Primary Care Llc is an health care organization with primary practice located at 510 Hospital Dr Suite 150, Madison TN 37115-5033. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Skyline Primary Care Llc can be contacted via phone (615) 865-9232, or through Locke, Chuck via phone (615) 373-7604.

Contact Information

Primary practice address
510 Hospital Dr Suite 150 Madison TN 37115-5033
Phone: (615) 865-9232
Fax: (615) 865-4159
Website:
Map and Directions
Authorized official contact:
Name: Locke, Chuck
Phone: (615) 373-7604

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1124071071
LBN Legal business name Skyline Primary Care Llc
DBA Doing business as
Authorized official Locke, Chuck
Entity Organization
Organization subpart 1 Yes
Enumeration date May 19th, 2006
Last updated Jan 5th, 2008 - about 16 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 1124071071 NPPES
Tennessee MEDICAID 3734032

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