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NPI Code Detail

MEDICARE: AGAPE FAMILY HEALTH, LLC

MEDICARE: AGAPE FAMILY HEALTH, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center
2261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1073066205
Entity Type Code : Organization
Provider Name (Legal Business Name) : AGAPE FAMILY HEALTH, LLC
Provider Business Mailing Address
First Line : 915 S GARDEN ST
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-3205
Country : US
Telephone Number : 931-548-8090
Fax Number :
Provider Business Practice Location Address
First Line : 915 S GARDEN ST
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-3205
Country : US
Telephone Number : 931-548-8090
Fax Number : 931-548-8110
Authorized Official
Title or Position : OWNER/NURSE PRACTITIONER
Name : KATHERINE RING
Credential :
Telephone Number : 931-797-2365
Provider Enumeration Date : 07/23/2016
Last Update Date : 07/24/2023

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Directions to “AGAPE FAMILY HEALTH, LLC ” Practice Location

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