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LINCOLN MEDICAL CENTER CARDIOLOGY CLINIC NPI 1811165616


NPI Information

NPI: 1811165616
Provider Name: LINCOLN MEDICAL CENTER CARDIOLOGY CLINIC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 44D0964824

Address:
108 MEDICAL CENTER BLVD
SUITE 125
FAYETTEVILLE, TN
ZIP 37334
Phone: (931) 438-7482
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LINCOLN MEDICAL CENTER CARDIOLOGY CLINIC is a specialist in Fayetteville, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LINCOLN MEDICAL CENTER CARDIOLOGY CLINIC NPI is 1811165616. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

108 MEDICAL CENTER BLVD
SUITE 125
FAYETTEVILLE, TN
ZIP 37334-741
Phone: (931) 438-7482
Fax: (931) 438-7447

The provider's authorized official is Davie R Groce .
The authorized official title is Cfo Lincoln County Health System and has the following contact phone number (931) 438-1100.

The CLIA number assigned to this NPI record is 44D0964824 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2008 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist21295TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.