CHRISTIAN CARE CLINIC NPI 1194023408

NPI Information

NPI: 1194023408
Provider Name: CHRISTIAN CARE CLINIC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 44D2016866

Address:
625 W MAIN ST
NEWBERN, TN
ZIP 38059
Phone: (731) 627-0700
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CHRISTIAN CARE CLINIC is a primary care nurse practitioner in Newbern, TN. CHRISTIAN CARE CLINIC NPI is 1194023408. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

625 W MAIN ST
NEWBERN, TN
ZIP 38059-572
Phone: (731) 627-0700

The provider's authorized official is Tammy Holcomb .
The authorized official title is Consultant and has the following contact phone number (731) 627-0700.

The CLIA number assigned to this NPI record is 44D2016866 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/10/2011 and was last updated on 3/10/2011.

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	363LP2300X	Nurse Practitioner	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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