1629073630 NPI number — ERWIN MEDICAL CLINIC

Table of content: (NPI 1629073630)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629073630 NPI number — ERWIN MEDICAL CLINIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ERWIN MEDICAL CLINIC
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:
Provider Other Organization Name Type Code:
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:
1629073630
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3101 BROWNS MILL RD
Provider Second Line Business Mailing Address:
STE 6-222
Provider Business Mailing Address City Name:
JOHNSON CITY
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37604-4100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
423-743-9994
Provider Business Mailing Address Fax Number:
423-743-9995

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1201 N MAIN AVE
Provider Second Line Business Practice Location Address:
STE 3
Provider Business Practice Location Address City Name:
ERWIN
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37650-9168
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-743-9994
Provider Business Practice Location Address Fax Number:
423-743-9995
Provider Enumeration Date:
06/16/2005

Additional Information

Authorized Official

Authorized Official Last Name:
DIXON
Authorized Official First Name:
RANDALL
Authorized Official Middle Name:
Authorized Official Title or Position:
PHYSICIAN ASSISTANT
Authorized Official Telephone Number:
423-743-9994

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X , with the licence number:  00000187 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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