Boones Creek Medical Pllc

LBN: Boones Creek Medical Pllc
Boones Creek Medical Pllc is an health care organization with primary practice located at 2685 Boones Creek Road Suite 104, Johnson City TN 37615. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Boones Creek Medical Pllc can be contacted via phone (423) 282-0636, or through Wilkinson, Amber F via phone (423) 282-0636.

Contact Information

Primary practice address
2685 Boones Creek Road Suite 104 Johnson City TN 37615
Phone: (423) 282-0636
Fax: (423) 282-1990
Website:
Map and Directions
Authorized official contact:
Name: Wilkinson, Amber F Family Nurse Practitioner (FNP)
Phone: (423) 282-0636

Health care specialties

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

Profile Details

NPI number 1871528976
LBN Legal business name Boones Creek Medical Pllc
DBA Doing business as
Authorized official Wilkinson, Amber F Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Feb 13th, 2020 - about 5 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 1871528976 NPPES
Tennessee MEDICAID 3735590

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