West Tennessee Primary Care, Llc

LBN: West Tennessee Primary Care, Llc
West Tennessee Primary Care, Llc is an health care organization with primary practice located at 541 W Park Pl , Henderson TN 38340-2027. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. West Tennessee Primary Care, Llc can be contacted via phone (731) 989-1007, or through Burks, Cameron via phone (731) 608-0380.

Contact Information

Primary practice address
541 W Park Pl Henderson TN 38340-2027
Phone: (731) 989-1007
Fax: (731) 989-0704
Website:
Map and Directions
Authorized official contact:
Name: Burks, Cameron
Phone: (731) 608-0380

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1942779509
LBN Legal business name West Tennessee Primary Care, Llc
DBA Doing business as
Authorized official Burks, Cameron
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2018
Last updated Dec 29th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942779509 NPPES
Tennessee Other 443960 MEDICARE PTAN FOR RURAL HEALTH CLINIC

Popular Providers