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SCOTTS HILL CLINIC INC. NPI 1396708830


NPI Information

NPI: 1396708830
Provider Name: SCOTTS HILL CLINIC, INC.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 44D0887507

Address:
200 W CHURCH ST
LEXINGTON, TN
ZIP 38351
Phone: (731) 968-3646
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SCOTTS HILL CLINIC, INC. is a family nurse practitioner in Lexington, TN. SCOTTS HILL CLINIC, INC. NPI is 1396708830. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 W CHURCH ST
LEXINGTON, TN
ZIP 38351-038
Phone: (731) 968-3646
Fax: (731) 968-1870

The provider's authorized official is Larry Henson .
The authorized official title is Rcd and has the following contact phone number (336) 944-6420.

The CLIA number assigned to this NPI record is 44D0887507 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 6/30/2022.


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
1363LF0000XNurse PractitionerFamily614146642Yes

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
13378045MEDICAIDTENNESSEE

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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