Clay County Outpatient Clinic in Celina - Family Medicine
Clay County Outpatient Clinic - NPI 1992988638
Clay County Outpatient Clinic is a Family Medicine in Celina, Tennessee. Clay County Outpatient Clinic practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Clay County Outpatient Clinic is 1992988638. The last update date is 2007-12-17.
Clay County Outpatient Clinic's current location address is 102 Old Jefferson Street, Celina, Tennessee. You can contact this provider via phone number 9312433576 and fax number 9312432751. The mailing address for Clay County Outpatient Clinic is 102 Old Jefferson Street, Celina, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clay County Outpatient Clinic |
|---|---|
| Address | 102 Old Jefferson Street, Celina, Tennessee |
| Phone Number | 9312433576 |
| Fax Number | 9312432751 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mauricio S Roberto |
| Credentials | MD |
| Telephone Number | 9312433576 |
NPI Number Detail
| NPI Number | 1992988638 |
|---|---|
| Provider Enumeration Date | 2007-12-17 |
| Last Updated Date | 2007-12-17 |
Provider Mailing Address Detail
| Address | 102 Old Jefferson Street |
|---|---|
| City | Celina |
| State | Tennessee (TN) |
| Post Code | 385514040 |
| Phone Number | 9312433576 |
| Fax Number | 9312432751 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD7826 |
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Definition: 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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3152445 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Clay County Outpatient Clinic by the Centers for Medicare & Medicaid Services?
The Clay County Outpatient Clinic has been assigned the NPI (National Provider Identifier) 1992988638 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Clay County Outpatient Clinic?
The Clay County Outpatient Clinic is physically situated at 102 Old Jefferson Street, in the city of Celina, state of TN, with the postal code 385514040.
What is Clay County Outpatient Clinic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Clay County Outpatient Clinic's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1992988638 to Clay County Outpatient Clinic?
The Clay County Outpatient Clinic received its 1992988638 assignment from the Centers for Medicare & Medicaid Services on 2007-12-17.
As of what date was the information pertaining to Clay County Outpatient Clinic, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Clay County Outpatient Clinic, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-17.
NPI Number: 1477582294
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