ALLEN ALLIED HEALTHCARE INC. NPI 1114136561

NPI Information

NPI: 1114136561
Provider Name: ALLEN ALLIED HEALTHCARE INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 44D1020822

Address:
403 PRINCETON RD STE 1
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 283-9913
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ALLEN ALLIED HEALTHCARE INC. is a primary care clinic center in Johnson City, TN. ALLEN ALLIED HEALTHCARE INC. NPI is 1114136561. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

403 PRINCETON RD STE 1
JOHNSON CITY, TN
ZIP 37601-040
Phone: (423) 283-9913
Fax: (423) 283-9908

The provider's authorized official is Karen G Hathaway .
The authorized official title is Owner/provider and has the following contact phone number (423) 283-9913.

The CLIA number assigned to this NPI record is 44D1020822 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 3/3/2022.

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	173000000X	Legal Medicine		APN6312	TENNESSEE	No
2	261QP2300X	Clinic/Center	Primary Care			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	3723766	MEDICAID	TENNESSEE

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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