AGAPE FAMILY HEALTH LLC NPI 1073066205

NPI Information

NPI: 1073066205
Provider Name: AGAPE FAMILY HEALTH, LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 44D2121842

Address:
915 S GARDEN ST
COLUMBIA, TN
ZIP 38401
Phone: (931) 548-8090
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AGAPE FAMILY HEALTH, LLC is a rural health clinic center in Columbia, TN. AGAPE FAMILY HEALTH, LLC NPI is 1073066205. The provider is registered as an organization entity type.

The provider's business location address is:

915 S GARDEN ST
COLUMBIA, TN
ZIP 38401-205
Phone: (931) 548-8090
Fax: (931) 548-8110

The provider's authorized official is Katherine Ring .
The authorized official title is Owner/nurse Practitioner and has the following contact phone number (931) 797-2365.

The CLIA number assigned to this NPI record is 44D2121842 - other - nurse practioner primary with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2016 and was last updated on 7/24/2023.

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			No
2	261QR1300X	Clinic/Center	Rural Health			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

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