Crockett Medical Clinic Inc in Alamo - Primary Care
Crockett Medical Clinic Inc - NPI 1104839703
Crockett Medical Clinic Inc is a Primary Care in Alamo, Tennessee. Crockett Medical Clinic Inc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Crockett Medical Clinic Inc is 1104839703. The last update date is 2019-07-02.
Crockett Medical Clinic Inc's current location address is 58 S. Bells St, Alamo, Tennessee. You can contact this provider via phone number 7316965401 and fax number 7316965404. The mailing address for Crockett Medical Clinic Inc is 58 S. Bells St, Alamo, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crockett Medical Clinic Inc |
|---|---|
| Address | 58 S. Bells St, Alamo, Tennessee |
| Phone Number | 7316965401 |
| Fax Number | 7316965404 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Jerman Richard Charles |
| Telephone Number | 7316964670 |
NPI Number Detail
| NPI Number | 1104839703 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2019-07-02 |
Provider Mailing Address Detail
| Address | 58 S. Bells St |
|---|---|
| City | Alamo |
| State | Tennessee (TN) |
| Post Code | 38001 |
| Phone Number | 7316965401 |
| Fax Number | 7316965404 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3717707 | TN | -- | |
| 3717707 | TN | PTAN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Crockett Medical Clinic Inc?
The Crockett Medical Clinic Inc has been issued the NPI (National Provider Identifier) 1104839703 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Crockett Medical Clinic Inc?
The Crockett Medical Clinic Inc is situated at 58 S. Bells St, in the city of Alamo, state of TN, with the zip code 38001.
What is the Crockett Medical Clinic Inc's area of specialization and corresponding taxonomy classification?
The Crockett Medical Clinic Inc's specialty field is Primary Care, and it falls under the taxonomy code 261Qp2300X, which categorizes healthcare providers based on their specialties.
On what date did the Crockett Medical Clinic Inc receive its 1104839703 assignment from the Centers for Medicare & Medicaid Services?
The Crockett Medical Clinic Inc was assigned its 1104839703 by the Centers for Medicare & Medicaid Services on 2006-08-14.
When was the information related to Crockett Medical Clinic Inc most recently updated or refreshed?
The details pertaining to the Crockett Medical Clinic Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-07-02.
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