Wade Family Medicine

LBN: Wade Family Medicine, Llc.
Wade Family Medicine is an health care organization with primary practice located at 899 Highway 51 S , Covington TN 38019-2568. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Wade Family Medicine, Llc. can be contacted via phone (901) 244-4646, or through Wade, Modeanna Leigh via phone (901) 244-4648.

Contact Information

Primary practice address
899 Highway 51 S Covington TN 38019-2568
Phone: (901) 244-4646
Fax: (901) 244-4647
Website:
Map and Directions
Authorized official contact:
Name: Wade, Modeanna Leigh
Phone: (901) 244-4648

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Primary Care 261QP2300X 16204 Tennessee
Ambulatory Health Care Facilities / Rural Health 261QR1300X 16204 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1629586375
LBN Legal business name Wade Family Medicine, Llc.
DBA Doing business as Wade Family Medicine
Authorized official Wade, Modeanna Leigh
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2018
Last updated Jul 9th, 2024 - about 2 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 1629586375 NPPES
Tennessee MEDICAID 1525986

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