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LEBANON HEALTH CARE CENTER NPI 1902905573


NPI Information

NPI: 1902905573
Provider Name: LEBANON HEALTH CARE CENTER

Former Legal Business Name: LEBANON PAIN MANAGEMENT CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
307 F WEST MAIN ST
LEBANON, TN
ZIP 37087
Phone: (615) 449-4151
Get Directions

LEBANON HEALTH CARE CENTER is a family medicine in Lebanon, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LEBANON HEALTH CARE CENTER NPI is 1902905573. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Lebanon Pain Management Clinic.

The provider's business location address is:

307 F WEST MAIN ST
LEBANON, TN
ZIP 37087
Phone: (615) 449-4151
Fax: (615) 449-1994

The provider's authorized official is Tyroma Denise Hendrix .
The authorized official title is Owner Doctor and has the following contact phone number (615) 504-9735.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 9/30/2008.


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
1111N00000XChiropractor1874DCTENNESSEENo
2363A00000XPhysician Assistant1192PATENNESSEENo
3207Q00000XFamily Medicine7162TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P4110444OTHERTENNESSEEBCBS
23734656MEDICARE PINTENNESSEE

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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