CYRUS FAMILY MEDICAL CENTER NPI 1578179230

NPI Information

NPI: 1578179230
Provider Name: CYRUS FAMILY MEDICAL CENTER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 44D2211236

Address:
503 WESTFIELD PL
JASPER, TN
ZIP 37347
Phone: (423) 651-0300
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CYRUS FAMILY MEDICAL CENTER is a family nurse practitioner in Jasper, TN. CYRUS FAMILY MEDICAL CENTER NPI is 1578179230. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

503 WESTFIELD PL
JASPER, TN
ZIP 37347-144
Phone: (423) 651-0300
Fax: (423) 651-0017

The provider's authorized official is Faramarz Ghanbari .
The authorized official title is Owner and has the following contact phone number (423) 651-0017.

The CLIA number assigned to this NPI record is 44D2211236 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2020 and was last updated on 9/18/2020.

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	363LF0000X	Nurse Practitioner	Family			Yes

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: 4/28/2024

NPI Synchronization or Removal

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