PROFESSIONAL DRIVERS MEDICAL DEPOT – NPI #1306086277
Clinic/Center

PROFESSIONAL DRIVERS MEDICAL DEPOT is an AHC clinic located in KNOXVILLE, TN. NPPES has assigned the NPI number 1306086277 to PROFESSIONAL DRIVERS MEDICAL DEPOT on March 04, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PROFESSIONAL DRIVERS MEDICAL DEPOT” is a dba name, the actual legal business name for this organization is TRAVEL CENTER CLINICS. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROFESSIONAL DRIVERS MEDICAL DEPOT below.

NPI Profile for
TRAVEL CENTER CLINICS

NPI Number
1306086277
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRAVEL CENTER CLINICS
Doing Business As (dba): PROFESSIONAL DRIVERS MEDICAL DEPOT
Primary location
13060 PALESTINE LN
KNOXVILLE, TN 37934-0823
Phone: (865) 238-0288 Fax:
Mailing address
PO BOX 30757
KNOXVILLE, TN 37930-0757
Phone: (865) 531-1542 Fax:
Organization Subpart
No
Authorized Official
MIKE CRABTREE
CEO
Phone: (865) 531-1542
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)
TN 4903535

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.