1417194200 NPI number — ACCURATE MEDICAL PRACTICE SOLUTIONS

Table of content: (NPI 1417194200)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417194200 NPI number — ACCURATE MEDICAL PRACTICE SOLUTIONS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACCURATE MEDICAL PRACTICE SOLUTIONS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FAMILY HEALTH CENTER AND WALK IN CLINIC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417194200
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/04/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1550 SPARTA ST
Provider Second Line Business Mailing Address:
SUITE 9
Provider Business Mailing Address City Name:
MC MINNVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37110-1315
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
931-473-6006
Provider Business Mailing Address Fax Number:
931-723-0638

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1550 SPARTA ST
Provider Second Line Business Practice Location Address:
SUITE 9
Provider Business Practice Location Address City Name:
MC MINNVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37110-1315
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
931-473-6006
Provider Business Practice Location Address Fax Number:
931-723-0638
Provider Enumeration Date:
01/15/2009

Additional Information

Authorized Official

Authorized Official Last Name:
VANN
Authorized Official First Name:
SALLY
Authorized Official Middle Name:
MARY
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
931-461-3183

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1417194200 . This is a "NPI" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com