BEAN STATION FAMILY MEDICINE PC NPI 1255594487

NPI Information

NPI: 1255594487
Provider Name: BEAN STATION FAMILY MEDICINE, PC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
CLIA Number: 44D2233138
Address: 1179 HIGHWAY 11W
BEAN STATION, TN
ZIP 37708
Phone: (865) 993-1070

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NPI Details

BEAN STATION FAMILY MEDICINE, PC is a primary care clinic center in Bean Station, TN. BEAN STATION FAMILY MEDICINE, PC NPI is 1255594487. The provider is registered as an organization entity type.

The provider's business location address is:

1179 HIGHWAY 11W
BEAN STATION, TN
ZIP 37708-809
Phone: (865) 993-1070
Fax: (865) 993-1075

The provider's authorized official is Hector L Vega .
The authorized official title is Owner and has the following contact phone number (865) 993-1070.

The CLIA number assigned to this NPI record is 44D2233138 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2008 and was last updated on 7/8/2008.

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: 3/30/2025

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