Washington Ave Family Practice

LBN: Washington Ave Family Practice
Washington Ave Family Practice is an health care organization with primary practice located at 67 N Washington Ave , Cookeville TN 38501-3371. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Washington Ave Family Practice can be contacted via phone (931) 526-4004, or through Hash, Chris via phone (931) 526-4004.

Contact Information

Primary practice address
67 N Washington Ave Cookeville TN 38501-3371
Phone: (931) 526-4004
Fax: (931) 526-4014
Website:
Map and Directions
Authorized official contact:
Name: Hash, Chris
Phone: (931) 526-4004

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN 93501 Tennessee

Profile Details

NPI number 1447449533
LBN Legal business name Washington Ave Family Practice
DBA Doing business as
Authorized official Hash, Chris
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2007
Last updated Oct 15th, 2007 - about 17 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 1447449533 NPPES
Tennessee Other 3726167 MEDICARE GROUP PRICING

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