Emmaus Community Healthcare, Pllc in Johnson City - General Practice
Emmaus Community Healthcare, Pllc - NPI 1356379093
Emmaus Community Healthcare, Pllc is a General Practice in Johnson City, Tennessee. Emmaus Community Healthcare, Pllc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Emmaus Community Healthcare, Pllc is 1356379093. The last update date is 2022-01-28.
Emmaus Community Healthcare, Pllc's current location address is 509 Medtech Pkwy, Johnson City, Tennessee. You can contact this provider via phone number 4239522122 and fax number 4239522145. The mailing address for Emmaus Community Healthcare, Pllc is 509 Medtech Pkwy, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Emmaus Community Healthcare, Pllc |
|---|---|
| Address | 509 Medtech Pkwy, Johnson City, Tennessee |
| Phone Number | 4239522122 |
| Fax Number | 4239522145 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Backus L Charles |
| Credentials | DO |
| Telephone Number | 4235385202 |
NPI Number Detail
| NPI Number | 1356379093 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2022-01-28 |
Provider Mailing Address Detail
| Address | 509 Medtech Pkwy |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 37604 |
| Phone Number | 4239522122 |
| Fax Number | 4239522145 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3726460 | TN | -- | |
| DD0861 | TN | RR |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Emmaus Community Healthcare, Pllc by the Centers for Medicare & Medicaid Services?
The Emmaus Community Healthcare, Pllc has been issued the NPI (National Provider Identifier) 1356379093 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Emmaus Community Healthcare, Pllc is physically located?
The Emmaus Community Healthcare, Pllc is physically situated at the following address: 509 Medtech Pkwy, Johnson City, TN, 37604.
What is the Emmaus Community Healthcare, Pllc's area of specialization and corresponding taxonomy classification?
The Emmaus Community Healthcare, Pllc's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.
On what date did Emmaus Community Healthcare, Pllc receive its 1356379093 assignment from the Centers for Medicare & Medicaid Services?
The Emmaus Community Healthcare, Pllc was assigned its 1356379093 on 2006-06-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Emmaus Community Healthcare, Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Emmaus Community Healthcare, Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-01-28.