MEDICARE: BARFIELD FAMILY WALK IN CLINIC

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
1	261QP2300X	Primary Care Clinic/Center	7765	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4095318	OTHER	TN	BCBS

General Provider Information

NPI Number	:	1912978370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARFIELD FAMILY WALK IN CLINIC

Provider Business Mailing Address
First Line	:	2910 SOUTH CHURCH ST
Second Line	:	SUITE B
City	:	MURFREESBORO
State	:	TN
Zip	:	37127
Country	:	US
Telephone Number	:	615-895-3600
Fax Number	:	615-895-0024

Provider Business Practice Location Address
First Line	:	2910 SOUTH CHURCH ST
Second Line	:	SUITE B
City	:	MURFREESBORO
State	:	TN
Zip	:	37127-7149
Country	:	US
Telephone Number	:	615-895-3600
Fax Number	:	615-895-0024

Authorized Official
Title or Position	:	GENERAL PARTNER
Name	:	MR. JACK DEMPSEY HYDRICK II
Credential	:	FNP
Telephone Number	:	615-895-3600

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	09/30/2009

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