Blankenship Medical Group Pllc

LBN: Blankenship Medical Group Pllc
Blankenship Medical Group Pllc is an health care organization with primary practice located at 306 N Chancery St , Mc Minnville TN 37110-8904. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Blankenship Medical Group Pllc can be contacted via phone (931) 507-4500, or through Blankenship, Brad E via phone (615) 796-0902.

Contact Information

Primary practice address
306 N Chancery St Mc Minnville TN 37110-8904
Phone: (931) 507-4500
Fax: (931) 507-4502
Website:
Map and Directions
Authorized official contact:
Name: Blankenship, Brad E Doctor of Medicine (MD)
Phone: (615) 796-0902

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD17499 Tennessee

Profile Details

NPI number 1104849116
LBN Legal business name Blankenship Medical Group Pllc
DBA Doing business as
Authorized official Blankenship, Brad E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Feb 8th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104849116 NPPES
Tennessee MEDICAID 3735031

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