MCMINNVILLE ORTHOPAEDIC CLINIC NPI 1306809199

NPI Information

NPI: 1306809199
Provider Name: MCMINNVILLE ORTHOPAEDIC CLINIC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
CLIA Number: 44D2201973
Address: 1215 OLD MAIN ST
HARTFORD, KY
ZIP 42347
Phone: (270) 730-5344

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NPI Details

MCMINNVILLE ORTHOPAEDIC CLINIC is an orthopaedic surgery in Hartford, KY. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. MCMINNVILLE ORTHOPAEDIC CLINIC NPI is 1306809199. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1215 OLD MAIN ST
HARTFORD, KY
ZIP 42347-619
Phone: (270) 730-5344

The provider's authorized official is Douglas Brandt Haynes .
The authorized official title is Partner and has the following contact phone number (931) 473-9624.

The CLIA number assigned to this NPI record is 44D2201973 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2006 and was last updated on 5/26/2021.

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	Primary
1	207X00000X	Orthopaedic Surgery		Yes
2	332B00000X	Durable Medical Equipment & Medical Supplies		No
3	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	No
4	335E00000X	Prosthetic/Orthotic Supplier		No

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
1	3384004	MEDICAID	TENNESSEE
2	3812480	MEDICAID	TENNESSEE
3	3191762	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: 11/21/2025

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