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
Fax: (615) 758-3875
Website:
Authorized official contact:
Name: Kaelin, Charles R. Doctor of Medicine (MD)

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659750834 NPPES
Tennessee MEDICAID Q021469

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