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GRABENSTEIN FAMILY PRACTICE NPI 1891861274


NPI Information

NPI: 1891861274
Provider Name: GRABENSTEIN FAMILY PRACTICE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 44D0306745

Address:
1822 MEMORIAL DRIVE
CLARKSVILLE, TN
ZIP 37043
Phone: (931) 552-8010
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GRABENSTEIN FAMILY PRACTICE is a family medicine in Clarksville, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GRABENSTEIN FAMILY PRACTICE NPI is 1891861274. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1822 MEMORIAL DRIVE
CLARKSVILLE, TN
ZIP 37043
Phone: (931) 552-8010
Fax: (931) 551-3118

The provider's authorized official is William Grabenstein .
The authorized official title is Owner and has the following contact phone number (931) 552-8010.

The CLIA number assigned to this NPI record is 44D0306745 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/28/2006 and was last updated on 7/29/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineTENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13728817MEDICARE PINTENNESSEE
24102303OTHERTENNESSEEBLUE CROSS
3A99546MEDICARE UPINTENNESSEE
44102307OTHERTENNESSEEBLUE CROSS GROUP
53728817MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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