MEDICARE: TENNESSEE URGENT CARE ASSOCIATES, 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
1	261QU0200X	Urgent Care Clinic/Center	99439	TN

General Provider Information

NPI Number	:	1487642765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENNESSEE URGENT CARE ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	1616 GALLATIN RD N
Second Line	:
City	:	MADISON
State	:	TN
Zip	:	37115-2104
Country	:	US
Telephone Number	:	615-865-8500
Fax Number	:	615-860-8061

Provider Business Practice Location Address
First Line	:	1616 GALLATIN RD N
Second Line	:
City	:	MADISON
State	:	TN
Zip	:	37115-2104
Country	:	US
Telephone Number	:	615-865-8500
Fax Number	:	615-860-8061

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT L. CRANFIELD
Credential	:	M.D.
Telephone Number	:	615-865-8500

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	01/21/2008

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