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TEN BROECK TENNESSEE PHYSICIANS GROUP INC NPI 1750968921


NPI Information

NPI: 1750968921
Provider Name: TEN BROECK TENNESSEE PHYSICIANS GROUP INC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1600 23RD ST
BEDFORD, IN
ZIP 47421
Phone: (812) 276-1051
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TEN BROECK TENNESSEE PHYSICIANS GROUP INC is an adult mental health clinic center in Bedford, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. TEN BROECK TENNESSEE PHYSICIANS GROUP INC NPI is 1750968921. The provider is registered as an organization entity type.

The provider's business location address is:

1600 23RD ST
BEDFORD, IN
ZIP 47421-704
Phone: (812) 276-1051
Fax: (812) 276-1276

The provider's authorized official is Karissa Hutson .
The authorized official title is Business Office and has the following contact phone number (931) 319-4231.

The enumeration date for this NPI number is 3/25/2021 and was last updated on 3/25/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthYes

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

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