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IMPACT HEALTHCARE PLLC NPI 1487185153


NPI Information

NPI: 1487185153
Provider Name: IMPACT HEALTHCARE, PLLC

Doing Business As: IMPACT HEALTHCARE LLC

Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 44D2128897

Address:
37 SANDSTONE CIR
STE 92
JACKSON, TN
ZIP 38305
Phone: (731) 445-4879
Get Directions

IMPACT HEALTHCARE, PLLC is an addiction medicine family medicine in Jackson, TN. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. IMPACT HEALTHCARE, PLLC NPI is 1487185153. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Impact Healthcare Llc.

The provider's business location address is:

37 SANDSTONE CIR
STE 92
JACKSON, TN
ZIP 38305-089
Phone: (731) 445-4879

The provider's authorized official is Andrew Turner .
The authorized official title is President and has the following contact phone number (205) 208-9312.

The CLIA number assigned to this NPI record is 44D2128897 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/24/2017 and was last updated on 5/22/2023.


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
1207QA0401XFamily MedicineAddiction MedicineYes

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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