Tennessee Kidney Care Pllc

LBN: Tennessee Kidney Care Pllc
Tennessee Kidney Care Pllc is an health care organization with primary practice located at 915 Clingan Ridge Dr Nw , Cleveland TN 37312-3729. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Tennessee Kidney Care Pllc can be contacted via phone (423) 339-3340, or through Alausa, Morufu Olatunji via phone (815) 741-6830.

Contact Information

Primary practice address
915 Clingan Ridge Dr Nw Cleveland TN 37312-3729
Phone: (423) 339-3340
Fax: (423) 339-9927
Website:
Map and Directions
Authorized official contact:
Name: Alausa, Morufu Olatunji
Phone: (815) 741-6830

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1073963716
LBN Legal business name Tennessee Kidney Care Pllc
DBA Doing business as
Authorized official Alausa, Morufu Olatunji
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2016
Last updated Sep 15th, 2022 - about 3 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 1073963716 NPPES
Tennessee MEDICAID Q025320

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