HILCREST CLINIC, PC (NPI# 1295769552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295769552 |
Entity Type | Organization |
Organization Name | HILCREST CLINIC, PC |
Practice Address |
4891 East Main Street Erin TN 37061 |
Practice Telephone | 9312894201 |
Practice Fax Number | 9312894204 |
Mailing Telephone | 9312894201 |
Mailing Fax Number | 9312894204 |
Enumeration Date | 2006-07-10 |
Last Update Date | 2007-08-16 |
Authorized Official Name | DR. DANIEL E MARTIN (PRESIDENT/CEO) |
Authorized Official Telephone | 9312894201 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
MD11815 | TN | Ambulatory Health Care Facilities |
Street Address |
4891 EAST MAIN STREET |
City | ERIN |
State | TN |
Zip Code | 37061 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639293871 | Michael Allen Carter | Family Medicine | 4891 East Main Street, Erin, TN 37061 | 2007-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366717985 | Traylor Family Health,llc | Nurse Practitioner | 5923 East Main Street, Erin, TN 37061 | 2012-03-14 |
1396964862 | Ginger C. Lyle | Registered Nurse | 45 East Court Square, Erin, TN 37061 | 2007-04-24 |
1427173210 | Houston County Ems | Ambulance | 3515 West Main Street, Erin, TN 37061 | 2007-03-20 |
1467582064 | Richard Allen Ramsey | Pharmacist | Spring & Front Street, Erin, TN 37061 | 2007-03-06 |
1386787315 | Mitchum Drug Company Inc | Pharmacy | Spring & Front Sts, Erin, TN 37061 | 2007-02-15 |
1013062108 | John L Stanton Md | Durable Medical Equipment & Medical Supplies | 307 E Main Street, Suite A, Erin, TN 37061 | 2007-01-25 |
1689729105 | Carlisle Webb Mitchum IIi | Pharmacist | 18 Spring St, Erin, TN 37061 | 2007-01-24 |
1912017435 | Ericka K Fuller | Nurse Practitioner | 4891 East Main St, Erin, TN 37061 | 2006-08-30 |
1437177045 | James William Branson | Surgery | 4895 East Main St., Erin, TN 37061 | 2006-07-18 |
1376579730 | Douglas Wister Ligon | Emergency Medicine | 4895 East Main St, Ste A, Erin, TN 37061 | 2006-06-25 |
Find all providers in zip 37061 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.