Vanderbilt Integrated Primary Care Madison Street | |
1401 Madison St Shelbyville TN 37160-3629 | |
(931) 685-2025 | |
Not Available |
Full Name | Vanderbilt Integrated Primary Care Madison Street |
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Speciality | Clinic/Center |
Location | 1401 Madison St, Shelbyville, Tennessee |
Authorized Official Name and Position | Angela L Simmons (VP - FINANCE) |
Authorized Official Contact | 6159368875 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vanderbilt Integrated Primary Care Madison Street 3841 Green Hills Village Dr Ste 200 Nashville TN 37215-2691 Ph: () - | Vanderbilt Integrated Primary Care Madison Street 1401 Madison St Shelbyville TN 37160-3629 Ph: (931) 685-2025 |
NPI Number | 1689273344 |
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Provider Enumeration Date | 10/22/2020 |
Last Update Date | 03/31/2022 |
Medicare PECOS PAC ID | 4082026695 |
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Medicare Enrollment ID | O20210114001869 |
Identifier | Type | State | Issuer |
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1689273344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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