Prodigal Primary Care Pc

LBN: Prodigal Primary Care Pc
Prodigal Primary Care Pc is an health care organization with primary practice located at 901 Merchant Dr , Knoxville TN 37912-3862. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Prodigal Primary Care Pc can be contacted via phone (865) 474-1053, or through Brickhouse, David E via phone (865) 288-3754.

Contact Information

Primary practice address
901 Merchant Dr Knoxville TN 37912-3862
Phone: (865) 474-1053
Fax: (865) 951-2401
Website:
Map and Directions
Authorized official contact:
Name: Brickhouse, David E Physician Assistant (PA)
Phone: (865) 288-3754

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1740534049
LBN Legal business name Prodigal Primary Care Pc
DBA Doing business as
Authorized official Brickhouse, David E Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2012
Last updated Nov 1st, 2013 - about 13 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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