FAITH FAMILY MEDICAL CLINIC NPI 1801929617

NPI Information

NPI: 1801929617
Provider Name: FAITH FAMILY MEDICAL CLINIC
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization

CLIA Number: 44D0990113

Address:
326 21ST AVE N
NASHVILLE, TN
ZIP 37203
Phone: (615) 341-0808
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FAITH FAMILY MEDICAL CLINIC is a voluntary or charitable in Nashville, TN. FAITH FAMILY MEDICAL CLINIC NPI is 1801929617. The provider is registered as an organization entity type.

The provider's business location address is:

326 21ST AVE N
NASHVILLE, TN
ZIP 37203-846
Phone: (615) 341-0808
Fax: (615) 341-0881

The provider's authorized official is Thomas Wayne Henderson .
The authorized official title is Medical Director and has the following contact phone number (615) 341-0808.

The CLIA number assigned to this NPI record is 44D0990113 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/13/2007 and was last updated on 8/22/2020.

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	251V00000X	Voluntary or Charitable		4202	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: 11/14/2023

NPI Synchronization or Removal

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