Hometown Health Clinic Llc
LBN: Qualls Harbin Family Medicine Llc
Hometown Health Clinic Llc is an health care organization with primary practice located at 255 Riverside Drive , Savannah TN 38372. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty.
Qualls Harbin Family Medicine Llc can be contacted via phone (731) 438-3765, or through Harbin, Lauren via phone (731) 438-3765.
Contact Information
Primary practice address
255 Riverside Drive
Savannah TN 38372
Phone: (731) 438-3765
Fax: (731) 438-3767
Website:
Authorized official contact:
Name: Harbin, Lauren Family Nurse Practitioner (FNP)
Phone: (731) 438-3765
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN0000021321 | Tennessee |
Profile Details
| NPI number | 1538671631 |
|---|---|
| LBN Legal business name | Qualls Harbin Family Medicine Llc |
| DBA Doing business as | Hometown Health Clinic Llc |
| Authorized official | Harbin, Lauren Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 30th, 2017 |
| Last updated | Mar 10th, 2023 - about 3 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 | 1538671631 | NPPES |
| Tennessee | MEDICAID | Q032778 | |
| Tennessee | Other | 1538671631 |
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