Extendcare Medical Group Pllc

LBN: Extendcare Medical Group Pllc
Extendcare Medical Group Pllc is an health care organization with primary practice located at 2000 Mallory Ln Ste 130-256 , Franklin TN 37067-8209. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Extendcare Medical Group Pllc can be contacted via phone (615) 261-9106, or through Dennis, Kevin via phone (615) 261-9106.

Contact Information

Primary practice address
2000 Mallory Ln Ste 130-256 Franklin TN 37067-8209
Phone: (615) 261-9106
Fax: (615) 261-9106
Website:
Map and Directions
Authorized official contact:
Name: Dennis, Kevin Doctor of Medicine (MD)
Phone: (615) 261-9106

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37294 Tennessee

Profile Details

NPI number 1902831217
LBN Legal business name Extendcare Medical Group Pllc
DBA Doing business as
Authorized official Dennis, Kevin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2006
Last updated Nov 28th, 2007 - about 19 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 1902831217 NPPES
Tennessee MEDICAID 3885918

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