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BETHESDA CLINIC LLC NPI 1417505108


NPI Information

NPI: 1417505108
Provider Name: BETHESDA CLINIC, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 44D2175658

Address:
124 MAIN ST
CLIFTON, TN
ZIP 38425
Phone: (931) 676-5200
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BETHESDA CLINIC, LLC is a primary care clinic center in Clifton, TN. BETHESDA CLINIC, LLC NPI is 1417505108. The provider is registered as an organization entity type.

The provider's business location address is:

124 MAIN ST
CLIFTON, TN
ZIP 38425-544
Phone: (931) 676-5200
Fax: (931) 676-5202

The provider's authorized official is Allison Jessica Sems .
The authorized official title is Owner and has the following contact phone number (931) 676-7367.

The CLIA number assigned to this NPI record is 44D2175658 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/27/2019 and was last updated on 10/6/2023.


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
1261QU0200XClinic/CenterUrgent CareNo
2261QP2300XClinic/CenterPrimary CareYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.