FAMILY HEALTH CARE OF CAMDEN INC NPI 1811196066

NPI Information

NPI: 1811196066
Provider Name: FAMILY HEALTH CARE OF CAMDEN, INC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 44D1015496

Address:
350 HOSPITAL DR
CAMDEN, TN
ZIP 38320
Phone: (731) 584-3330
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FAMILY HEALTH CARE OF CAMDEN, INC is a rural health clinic center in Camden, TN. FAMILY HEALTH CARE OF CAMDEN, INC NPI is 1811196066. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

350 HOSPITAL DR
CAMDEN, TN
ZIP 38320-650
Phone: (731) 584-3330
Fax: (731) 584-3332

The provider's authorized official is Steven Lee Cannady .
The authorized official title is President/owner and has the following contact phone number (731) 584-3330.

The CLIA number assigned to this NPI record is 44D1015496 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/17/2007 and was last updated on 2/14/2014.

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
1	363LF0000X	Nurse Practitioner	Family	APN6264	TENNESSEE	No
2	261QR1300X	Clinic/Center	Rural Health	APN6264	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3720512	MEDICAID	TENNESSEE
2	3720512	MEDICARE PIN

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

NPI Synchronization or Removal

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