Momentum Medical Group Pc

LBN: Momentum Medical Group Pc
Momentum Medical Group Pc is an health care organization with primary practice located at 1910 Church St 2Nd Floor (Suite 200), Nashville TN 37203-2204. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Momentum Medical Group Pc can be contacted via phone (615) 208-9010, or through Van Sickle, Kent via phone (615) 208-9010.

Contact Information

Primary practice address
1910 Church St 2Nd Floor (Suite 200) Nashville TN 37203-2204
Phone: (615) 208-9010
Fax: (615) 208-9020
Website:
Map and Directions
Authorized official contact:
Name: Van Sickle, Kent Doctor of Medicine (MD)
Phone: (615) 208-9010

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1124321062
LBN Legal business name Momentum Medical Group Pc
DBA Doing business as
Authorized official Van Sickle, Kent Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2010
Last updated Apr 2nd, 2014 - about 12 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 1124321062 NPPES
Tennessee MEDICAID 1523117

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