Sport Ortho Urgent Care Pc
LBN: Sport Ortho Urgent Care Pc
Sport Ortho Urgent Care Pc is an health care organization with primary practice located at 4998 Crossings Cir Ste 200 , Mount Juliet TN 37122-0018. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty.
Sport Ortho Urgent Care Pc can be contacted via phone (615) 553-5000, or through Kaelin, Charles R. via phone (615) 553-5000.
Contact Information
Primary practice address
4998 Crossings Cir Ste 200
Mount Juliet TN 37122-0018
Phone: (615) 553-5000
Fax: (615) 758-3875
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | ||
Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | Tennessee |
Profile Details
NPI number | 1659750834 |
---|---|
LBN Legal business name | Sport Ortho Urgent Care Pc |
DBA Doing business as | |
Authorized official | Kaelin, Charles R. Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 21st, 2015 |
Last updated | Jul 15th, 2021 - about 4 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 | 1659750834 | NPPES |
Tennessee | MEDICAID | Q021469 |
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