COMMUNITY MEDICAL CLINIC INC. NPI 1013048792

NPI Information

NPI: 1013048792
Provider Name: COMMUNITY MEDICAL CLINIC, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
619 MAIN ST N
CARTHAGE, TN
ZIP 37030
Phone: (615) 735-8040
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COMMUNITY MEDICAL CLINIC, INC. is a primary care clinic center in Carthage, TN. COMMUNITY MEDICAL CLINIC, INC. NPI is 1013048792. The provider is registered as an organization entity type.

The provider's business location address is:

619 MAIN ST N
CARTHAGE, TN
ZIP 37030-259
Phone: (615) 735-8040
Fax: (615) 735-8048

The provider's authorized official is Nikki Adams .
The authorized official title is Np, President and has the following contact phone number (615) 735-8040.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

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: 5/5/2024

NPI Synchronization or Removal

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