Tullahoma Immediate Care Pc

LBN: Tullahoma Immediate Care Pc
Tullahoma Immediate Care Pc is an health care organization with primary practice located at 1210 S Jackson St , Tullahoma TN 37388-4386. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Tullahoma Immediate Care Pc can be contacted via phone (931) 454-0489, or through Patsimas, John D via phone (931) 454-0489.

Contact Information

Primary practice address
1210 S Jackson St Tullahoma TN 37388-4386
Phone: (931) 454-0489
Fax: (931) 454-1227
Website:
Map and Directions
Authorized official contact:
Name: Patsimas, John D Doctor of Medicine (MD)
Phone: (931) 454-0489

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1730457649
LBN Legal business name Tullahoma Immediate Care Pc
DBA Doing business as
Authorized official Patsimas, John D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2011
Last updated Mar 28th, 2013 - about 12 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 1730457649 NPPES
Tennessee Other 4315510 BCBS

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