MCKENZIE MEDICAL CENTER LAB NPI 1477747293

NPI Information

NPI: 1477747293
Provider Name: MCKENZIE MEDICAL CENTER LAB

Doing Business As: MCKENZIE MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
205 HOSPITAL DR
SUITE A
MC KENZIE, TN
ZIP 38201
Phone: (731) 352-7907
Get Directions

MCKENZIE MEDICAL CENTER LAB is a family medicine in Mc Kenzie, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MCKENZIE MEDICAL CENTER LAB NPI is 1477747293. The provider is registered as an organization entity type.
The provider Is Doing Business As Mckenzie Medical Center.

The provider's business location address is:

205 HOSPITAL DR
SUITE A
MC KENZIE, TN
ZIP 38201-649
Phone: (731) 352-7907
Fax: (731) 352-4459

The provider's authorized official is Lisa K Page .
The authorized official title is Credentialing Manager and has the following contact phone number (731) 352-7907.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 8/27/2019.

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	261QR1300X	Clinic/Center	Rural Health			No
2	291U00000X	Clinical Medical Laboratory		MD23833	TENNESSEE	No
3	207Q00000X	Family Medicine		MD23833	TENNESSEE	Yes

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
1	3380640	MEDICAID	TENNESSEE
2	44D0315280	OTHER		CLIA

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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