Fayetteville-Lincoln County Senior Citizens Center

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

FAYETTEVILLE-LINCOLN COUNTY SENIOR CITIZENS CENTER

Practice address

908 Washington St W
Fayetteville, TN 37334-2850

Phone

(931) 433-7271

Fax

(931) 433-8634

NPI assigned

Dec 29, 2006

Organization subpart

No

Locations

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

Authorized official

Name

Mr. Harold Wayne Bradford

Title

Director

Phone

(931) 433-7271

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1043376460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 WASHINGTON ST W",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342850",
            "telephone_number": "931-433-7271",
            "fax_number": "931-433-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 WASHINGTON ST W",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342850",
            "telephone_number": "931-433-7271",
            "fax_number": "931-433-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTEVILLE-LINCOLN COUNTY SENIOR CITIZENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "931-433-7271",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fayetteville Healthcare, LLC
• Fayetteville Medical Associates, PC
• Fayetteville Medical Clinic & Urgent Care
• Fayetteville MRI, LLC
• Fayetteville Operator LLC
• Kayla Lynn Fiveash, ATC
• Windi Jean Fletcher, RDH
• Tiffany Forst, NP-C
• Shelania May Fowler, NP-C
• Amanda A Franks, PHARM D.

• All providers in Fayetteville, TN
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.