Rivergate Pediatrics Pc

LBN: Rivergate Pediatrics Pc
Rivergate Pediatrics Pc is an health care organization with primary practice located at 807 Meadowlark Ln , Goodlettsville TN 37072-2307. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Rivergate Pediatrics Pc can be contacted via phone (615) 859-6650, or through Eidson, Timothy H via phone (615) 859-6650.

Contact Information

Primary practice address
807 Meadowlark Ln Goodlettsville TN 37072-2307
Phone: (615) 859-6650
Fax: (615) 851-1983
Website:
Map and Directions
Authorized official contact:
Name: Eidson, Timothy H Doctor of Medicine (MD)
Phone: (615) 859-6650

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1366438640
LBN Legal business name Rivergate Pediatrics Pc
DBA Doing business as
Authorized official Eidson, Timothy H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2005
Last updated Jan 25th, 2011 - about 15 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 1366438640 NPPES
Tennessee MEDICAID 3381850
Tennessee Other 2000315

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