Mednorth Group Pllc

LBN: Mednorth Group Pllc
Mednorth Group Pllc is an health care organization with primary practice located at 3000 Greystone Sq , Jackson TN 38305-3589. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Mednorth Group Pllc can be contacted via phone (731) 664-5150, or through Blankenship, Joseph David via phone (731) 664-5150.

Contact Information

Primary practice address
3000 Greystone Sq Jackson TN 38305-3589
Phone: (731) 664-5150
Fax: (731) 664-5059
Website:
Map and Directions
Authorized official contact:
Name: Blankenship, Joseph David Doctor of Medicine (MD)
Phone: (731) 664-5150

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1770549693
LBN Legal business name Mednorth Group Pllc
DBA Doing business as
Authorized official Blankenship, Joseph David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2006
Last updated Feb 23rd, 2012 - about 14 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 1770549693 NPPES
Tennessee Other 1430 TLC
Tennessee MEDICAID 3729018 TLC
Tennessee Other 165539 TLC
Tennessee Other 4102813 TLC

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