Tri State Medical Clinic Inc in Middlesboro - Family
Tri State Medical Clinic Inc - NPI 1649370719
Tri State Medical Clinic Inc is a Family in Middlesboro, Kentucky. Tri State Medical Clinic Inc practices all healthcare services and medical treatments related to Family. The NPI Number for Tri State Medical Clinic Inc is 1649370719. The last update date is 2020-01-31.
Tri State Medical Clinic Inc's current location address is Po Box 217, Middlesboro, Kentucky. You can contact this provider via phone number 6062423100 and fax number 6062423984. The mailing address for Tri State Medical Clinic Inc is Po Box 217, Middlesboro, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tri State Medical Clinic Inc |
|---|---|
| Address | Po Box 217, Middlesboro, Kentucky |
| Phone Number | 6062423100 |
| Fax Number | 6062423984 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NURSE PRAC |
|---|---|
| Authorized Official Name | Roark B Larry |
| Credentials | NP-C |
| Telephone Number | 6062423100 |
NPI Number Detail
| NPI Number | 1649370719 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2020-01-31 |
Provider Mailing Address Detail
| Address | Po Box 217 |
|---|---|
| City | Middlesboro |
| State | Kentucky (KY) |
| Post Code | 409650217 |
| Phone Number | 6062423100 |
| Fax Number | 6062423984 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the Tri State Medical Clinic Inc's unique identification number?
The Tri State Medical Clinic Inc has been assigned the NPI (National Provider Identifier) Number 1649370719 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Tri State Medical Clinic Inc located?
The Tri State Medical Clinic Inc is located at Po Box 217, Middlesboro, KY 409650217.
What is the area of specialization for Tri State Medical Clinic Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tri State Medical Clinic Inc is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1649370719 to Tri State Medical Clinic Inc?
The Centers for Medicare & Medicaid Services assigned the 1649370719 to Tri State Medical Clinic Inc on 2006-09-25.
As of what date was the information regarding Tri State Medical Clinic Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tri State Medical Clinic Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-01-31.
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