SPRING CITY WALK IN MEDICAL CENTER LLC NPI 1063433704

NPI Information

NPI: 1063433704
Provider Name: SPRING CITY WALK IN MEDICAL CENTER, LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 44D0666631

Address:
126 LAVENDER ST
SPRING CITY, TN
ZIP 37381
Phone: (423) 452-9984
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SPRING CITY WALK IN MEDICAL CENTER, LLC is a rural health clinic center in Spring City, TN. SPRING CITY WALK IN MEDICAL CENTER, LLC NPI is 1063433704. The provider is registered as an organization entity type.

The provider's business location address is:

126 LAVENDER ST
SPRING CITY, TN
ZIP 37381-102
Phone: (423) 452-9984
Fax: (423) 452-9980

The provider's authorized official is Doris Elizabeth Young .
The authorized official title is Office Manager and has the following contact phone number (423) 452-9984.

The CLIA number assigned to this NPI record is 44D0666631 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 2/9/2021.

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	261QR1300X	Clinic/Center	Rural Health	44-3943	TENNESSEE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	443943	OTHER	TENNESSEE	RURAL HEALTH CLINIC

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

NPI Synchronization or Removal

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