MEDICARE: COLEMAN FAMILY CARE, INC

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	261Q00000X	Clinic/Center	14154	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

General Provider Information

NPI Number	:	1013146992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLEMAN FAMILY CARE, INC

Provider Business Mailing Address
First Line	:	9437 HIGHWAY 70 EAST
Second Line	:
City	:	MC EWEN
State	:	TN
Zip	:	37101-4859
Country	:	US
Telephone Number	:	931-582-8820
Fax Number	:	931-582-8970

Provider Business Practice Location Address
First Line	:	9437 HIGHWAY 70 EAST
Second Line	:
City	:	MCEWEN
State	:	TN
Zip	:	37101-4859
Country	:	US
Telephone Number	:	931-582-8820
Fax Number	:	931-582-8970

Authorized Official
Title or Position	:	OWNER
Name	:	JUELDA COLEMAN
Credential	:
Telephone Number	:	931-582-8820

Provider Enumeration Date	:	07/13/2009
Last Update Date	:	03/07/2023

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Directions to “COLEMAN FAMILY CARE, INC ” Practice Location

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