JACKSBORO URGENT CARE – NPI #1629536362
Clinic/Center

JACKSBORO URGENT CARE is an AHC clinic located in JACKSBORO, TN. NPPES has assigned the NPI number 1629536362 to JACKSBORO URGENT CARE on March 12, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent 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 JACKSBORO URGENT CARE below.

NPI Profile for
JACKSBORO URGENT CARE

NPI Number
1629536362
Enumeration Date

(more than 7 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
JACKSBORO URGENT CARE
Primary location
2707 JACKSBORO PIKE
SUITE 2
JACKSBORO, TN 37757
Phone: (423) 907-8186 Fax: (423) 907-8187
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PATRICIA EBERHARTER
CHIEF OFFICER/OWNER
Phone: (423) 907-8186
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
261QU0200X
- Clinic/Center / Urgent Care (Primary)

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.