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1346490554 NPI number — HUTCHESON PRIMARY CARE TENNESSEE LLC

NPI Number: 1346490554
Health Care Provider/Practitioner: HUTCHESON PRIMARY CARE TENNESSEE LLC

Information about “1346490554” NPI (HUTCHESON PRIMARY CARE TENNESSEE LLC) exists in 1346490554 in HTML format HTML  |  1346490554 in plain Text format TXT  |  1346490554 in PDF (Portable Document Format) PDF  |  1346490554 in an XML format XML  formats.

NPI Number : 1346490554 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346490554",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HUTCHESON PRIMARY CARE TENNESSEE LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1667 OOLTEWAH RINGGOLD ROAD",
    "SecondLineMailingAddress": "SUITE 111",
    "MailingAddressCityName": "CHATTANOOGA",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37421",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-485-7900",
    "MailingAddressFaxNumber": "423-485-7902",
    "FirstLinePracticeLocationAddress": "1667 OOLTEWAH-RINGGOLD",
    "SecondLinePracticeLocationAddress": "SUITE 111",
    "PracticeLocationAddressCityName": "CHATTANOOGA",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37421",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "423-485-7900",
    "PracticeLocationAddressFaxNumber": "423-785-7902",
    "EnumerationDate": "09/24/2008",
    "LastUpdateDate": "06/23/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VOLINSKI",
    "AuthorizedOfficialFirstName": "DOUGLAS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CHIEF FINANCIAL OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "706-858-2254",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2300X",
        "TaxonomyName": "Primary Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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