| Family Care Center Llc | |
|
207 West Locust Street Lafayette TN 37083 | |
| (615) 666-6425 | |
| (615) 666-3261 |
| Full Name | Family Care Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 207 West Locust Street, Lafayette, Tennessee |
| Authorized Official Name and Position | Hanna C Illa (OWNER) |
| Authorized Official Contact | 6156666425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Center Llc 207 West Locust Street Lafayette TN 37083 Ph: (615) 666-6425 | Family Care Center Llc 207 West Locust Street Lafayette TN 37083 Ph: (615) 666-6425 |
| NPI Number | 1689745069 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0345282455 |
|---|---|
| Medicare Enrollment ID | O20050531000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689745069 | NPI | - | NPPES |
| 3828728 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD30470 (Tennessee) | Primary |
| Provider Name | Hanna C Ilia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205826526 PECOS PAC ID: 0547213092 Enrollment ID: I20050224000922 |
| Provider Name | Melissa C Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689151920 PECOS PAC ID: 9739429275 Enrollment ID: I20201130002107 |
| Provider Name | Lavinia L Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801468509 PECOS PAC ID: 8820340979 Enrollment ID: I20210830003347 |
Abc Consulting Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 Highway 52 Byp W, Lafayette, TN 37083 Phone: 615-666-9542 Fax: 615-666-2222 | |
Stanley A Chunn Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Highway 52 Byp W, Lafayette, TN 37083 Phone: 615-666-5600 | |
Armadillo Medical Services, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 420 College St Ste A, Lafayette, TN 37083 Phone: 615-688-5383 Fax: 888-972-5790 | |
Fast Pace Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Ellington Dr, Lafayette, TN 37083 Phone: 615-561-1042 Fax: 615-561-1043 | |
A1 Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Brattontown Cir, Lafayette, TN 37083 Phone: 615-688-1135 Fax: 615-688-2006 | |
Vip Children's Clinic - Lafayette Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 306 W Locust St, Lafayette, TN 37083 Phone: 615-688-7012 | |
Life Long Family Practice, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Highway 52 Byp W, Lafayette, TN 37083 Phone: 615-688-7353 Fax: 615-688-7355 |