Skyridge Clinical Associates, Llc
LBN: Skyridge Clinical Associates, Llc
Skyridge Clinical Associates, Llc is an health care organization with primary practice located at 1060 Peerless Crossing Ste 200, Cleveland TN 37312-3861. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Skyridge Clinical Associates, Llc can be contacted via phone (423) 479-4165, or through Chastain, Garvin Kent via phone (423) 479-4165.
Contact Information
Primary practice address
1060 Peerless Crossing Ste 200
Cleveland TN 37312-3861
Phone: (423) 479-4165
Fax:
Website:
Authorized official contact:
Name: Chastain, Garvin Kent Doctor of Medicine (MD)
Phone: (423) 479-4165
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1184728347 |
|---|---|
| LBN Legal business name | Skyridge Clinical Associates, Llc |
| DBA Doing business as | |
| Authorized official | Chastain, Garvin Kent Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Aug 19th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184728347 | NPPES |
| Tennessee | MEDICAID | 30150621 | |
| Tennessee | Other | 4173087 |
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