Sequatchie Valley Primary Care in Kimball - Contractor
Sequatchie Valley Primary Care - NPI 1518171040
Sequatchie Valley Primary Care is a Contractor in Kimball, Tennessee. Sequatchie Valley Primary Care practices all healthcare services and medical treatments related to Contractor. The NPI Number for Sequatchie Valley Primary Care is 1518171040. The last update date is 2016-08-24.
Sequatchie Valley Primary Care's current location address is 24 Mountain View Dr, Kimball, Tennessee. You can contact this provider via phone number 4239429171 and fax number 4239429128. The mailing address for Sequatchie Valley Primary Care is 24 Mountain View Dr, Kimball, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sequatchie Valley Primary Care |
|---|---|
| Address | 24 Mountain View Dr, Kimball, Tennessee |
| Phone Number | 4239429171 |
| Fax Number | 4239429128 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Boeck A Karin |
| Credentials | M.D. |
| Telephone Number | 4239429171 |
NPI Number Detail
| NPI Number | 1518171040 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2016-08-24 |
Provider Mailing Address Detail
| Address | 24 Mountain View Dr |
|---|---|
| City | Kimball |
| State | Tennessee (TN) |
| Post Code | 373475477 |
| Phone Number | 4239429171 |
| Fax Number | 4239429128 |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
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Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1526744 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Sequatchie Valley Primary Care by the Centers for Medicare & Medicaid Services?
The Sequatchie Valley Primary Care has been assigned the NPI (National Provider Identifier) 1518171040 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Sequatchie Valley Primary Care's facilities are geographically located?
The facilities of Sequatchie Valley Primary Care are physically situated at the following location: 24 Mountain View Dr, Kimball, TN, 373475477.
What is Sequatchie Valley Primary Care's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sequatchie Valley Primary Care is Contractor, and the taxonomy code that categorizes this field of expertise is 171W00000X.
On what date did Sequatchie Valley Primary Care receive its 1518171040 assignment from the Centers for Medicare & Medicaid Services?
The Sequatchie Valley Primary Care was assigned its 1518171040 on 2007-05-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Sequatchie Valley Primary Care most recently updated or revised?
The information pertaining to Sequatchie Valley Primary Care, including its address, specialty, and other relevant details, was last updated or revised on 2016-08-24.