Lincoln Medical Center Surgical Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LINCOLN MEDICAL CENTER SURGICAL CLINIC

Practice address

108 Medical Center Blvd
Suite 175
Fayetteville, TN 37334-2741

Phone

(931) 438-1100

Fax

(931) 438-7491

NPI assigned

Nov 20, 2007

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

LINCOLN COUNTY HEALTH SYSTEMAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David Groce, CFO

Title

Cfo

Phone

(931) 438-7471

Specialties & licenses 1

Addresses

Part of

Cigna Finance

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1023299823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MEDICAL CENTER BLVD",
            "address_2": "SUITE 175",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342741",
            "telephone_number": "931-438-1100",
            "fax_number": "931-438-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MEDICAL CENTER BLVD",
            "address_2": "SUITE 175",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342741",
            "telephone_number": "931-438-1100",
            "fax_number": "931-438-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN MEDICAL CENTER SURGICAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LINCOLN COUNTY HEALTH SYSTEM",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GROCE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "931-438-7471",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lincoln Medical Center Cardiology Clinic
• Lincoln Medical Center Hospitalist
• Lincoln Medical Center OBGYN Clinic
• Lincoln Medical Center Orthopedic Clinic (Lincoln Medical Center)
• Lincoln Medical Center Orthopedic Clinic (Premier Orthopedic Associates)
• Lincoln Medical Group
• Lincoln Medical Home Health & Hospice
• Lincoln Medical Home Health & Hospice
• Lincoln Pharmacy Inc
• Lincoln Pharmacy Inc - LTC

• Clinic/Center in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.