Boulevard East Family And Occupational Medicine Inc in Morristown - Military Ambulatory Procedure Visits Operational (transportable)
Boulevard East Family And Occupational Medicine Inc - NPI 1609948009
Boulevard East Family And Occupational Medicine Inc is a Military Ambulatory Procedure Visits Operational (transportable) in Morristown, Tennessee. Boulevard East Family And Occupational Medicine Inc practices all healthcare services and medical treatments related to Military Ambulatory Procedure Visits Operational (transportable). The NPI Number for Boulevard East Family And Occupational Medicine Inc is 1609948009. The last update date is 2023-03-07.
Boulevard East Family And Occupational Medicine Inc's current location address is 1443 W Morris Blvd, Morristown, Tennessee. You can contact this provider via phone number 4233181185 and fax number 4233181015. The mailing address for Boulevard East Family And Occupational Medicine Inc is 1443 W Morris Blvd, Morristown, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Boulevard East Family And Occupational Medicine Inc |
|---|---|
| Address | 1443 W Morris Blvd, Morristown, Tennessee |
| Phone Number | 4233181185 |
| Fax Number | 4233181015 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Benavides Benaiah Moses |
| Credentials | MD |
| Telephone Number | 4233181185 |
NPI Number Detail
| NPI Number | 1609948009 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1443 W Morris Blvd |
|---|---|
| City | Morristown |
| State | Tennessee (TN) |
| Post Code | 37813 |
| Phone Number | 4233181185 |
| Fax Number | 4233181015 |
Provider's Primary Taxonomy Detail
| Speciality | Military Ambulatory Procedure Visits Operational (transportable) |
|---|---|
| Taxonomy | 261Qm1103X |
| Licence No | MD0000040290 |
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Definition: Non-fixed facilities or distinct parts of a "non-fixed" facility, providing outpatient surgical procedures requiring medically supervised recovery. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
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What is the Boulevard East Family And Occupational Medicine Inc's 1609948009?
The Boulevard East Family And Occupational Medicine Inc's NPI (National Provider Identifier) Number is 1609948009. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Boulevard East Family And Occupational Medicine Inc's facilities are situated?
The facilities of Boulevard East Family And Occupational Medicine Inc are physically located at the following address: 1443 W Morris Blvd, Morristown, TN, 37813.
What is the area of specialization for Boulevard East Family And Occupational Medicine Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Boulevard East Family And Occupational Medicine Inc is Military Ambulatory Procedure Visits Operational (transportable), and the corresponding taxonomy code that categorizes this area of expertise is 261Qm1103X.
On what date did the Boulevard East Family And Occupational Medicine Inc receive its 1609948009 assignment from the Centers for Medicare & Medicaid Services?
The Boulevard East Family And Occupational Medicine Inc was assigned its 1609948009 by the Centers for Medicare & Medicaid Services on 2006-11-14.
As of what date was the information regarding Boulevard East Family And Occupational Medicine Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Boulevard East Family And Occupational Medicine Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.
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