Gateway Medical Associates, P.C.

LBN: Gateway Medical Associates, P.C.
Gateway Medical Associates, P.C. is an health care organization with primary practice located at 751 Chesapeake Lane Ste 101, Clarksville TN 37040-5263. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Gateway Medical Associates, P.C. can be contacted via phone (931) 648-0202, or through Judd, Philip H via phone (931) 905-0520.

Contact Information

Primary practice address
751 Chesapeake Lane Ste 101 Clarksville TN 37040-5263
Phone: (931) 648-0202
Fax: (931) 648-0252
Website:
Map and Directions
Authorized official contact:
Name: Judd, Philip H CPA
Phone: (931) 905-0520

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO1235 Tennessee

Profile Details

NPI number 1780709451
LBN Legal business name Gateway Medical Associates, P.C.
DBA Doing business as
Authorized official Judd, Philip H CPA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Jun 19th, 2015 - about 11 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 1780709451 NPPES
Tennessee Other 3144330 BLUE CROSS & BLUE SHIELD
Tennessee MEDICAID 3305160 BLUE CROSS & BLUE SHIELD

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