Highlands Neurosurgery Pc
LBN: Highlands Neurosurgery Pc
Highlands Neurosurgery Pc is an health care organization with primary practice located at 1 Medical Park Blvd Ste 400E , Bristol TN 37620-7431. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / Neurological Surgery is the primary health care specialty.
Highlands Neurosurgery Pc can be contacted via phone (423) 844-5400, or through Fletcher-Helton, Carolyn Kistner via phone (423) 844-5412.
Contact Information
Primary practice address
1 Medical Park Blvd Ste 400E
Bristol TN 37620-7431
Phone: (423) 844-5400
Fax: (423) 844-5434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ||
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X |
Profile Details
| NPI number | 1104830405 |
|---|---|
| LBN Legal business name | Highlands Neurosurgery Pc |
| DBA Doing business as | |
| Authorized official | Fletcher-Helton, Carolyn Kistner |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 29th, 2006 |
| Last updated | Feb 1st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104830405 | NPPES |
| Tennessee | MEDICAID | 3389587 | |
| Tennessee | MEDICAID | 3810004833 |
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