COFFEE MEDICAL GROUP LLC NPI 1700192028

NPI Information

NPI: 1700192028
Provider Name: COFFEE MEDICAL GROUP LLC

Doing Business As: CENTER FOR FAMILY MEDICINE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1615 MCMINNVILLE HWY
MANCHESTER, TN
ZIP 37355
Phone: (931) 728-6205
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COFFEE MEDICAL GROUP LLC is a rural health clinic center in Manchester, TN. COFFEE MEDICAL GROUP LLC NPI is 1700192028. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Family Medicine.

The provider's business location address is:

1615 MCMINNVILLE HWY
MANCHESTER, TN
ZIP 37355-179
Phone: (931) 728-6205
Fax: (931) 723-3194

The provider's authorized official is Robert J Couch .
The authorized official title is Ceo and has the following contact phone number (931) 728-6354.

The enumeration date for this NPI number is 8/24/2010 and was last updated on 2/9/2024.

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	19	TENNESSEE	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: 5/5/2024

NPI Synchronization or Removal

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