Healthcare Provider Details

I. General information

NPI: 1861569121
Provider Name (Legal Business Name): BELL FAMILY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 N MAPLE ST
MURFREESBORO TN
37130-2833
US

IV. Provider business mailing address

527 N MAPLE ST
MURFREESBORO TN
37130-2833
US

V. Phone/Fax

Practice location:
  • Phone: 615-895-6900
  • Fax: 615-895-6912
Mailing address:
  • Phone: 615-895-6900
  • Fax: 615-895-6912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License NumberMD020666
License Number StateTN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierMD020666
Identifier TypeOTHER
Identifier StateTN
Identifier IssuerSTATE LICENSE NUMBER
# 2
Identifier3052354
Identifier TypeMEDICAID
Identifier StateTN
Identifier Issuer

VIII. Authorized Official

Name: DR. ARIKANA CHIYEDZO CHIHOMBORI
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.D.
Phone: 615-895-6900