Hospital Based Medical Services of Tennessee-I PC

Organization Active NPI Emergency Medicine Physician · Jasper, TN

NPI 1104246040 · NPPES record last updated Jul 9, 2014

Key facts

NPI
1104246040
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
HOSPITAL BASED MEDICAL SERVICES OF TENNESSEE-I PC
Practice address
1000 Highway 28
Jasper, TN 37347-3638
Phone
(423) 837-9500
NPI assigned
Apr 18, 2014
Organization subpart
No

Authorized official

Name
Terry Meadows, MD
Title
President
Phone
(469) 401-2386

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363L00000X

Addresses

Primary practice location

1000 Highway 28
Jasper, TN 37347-3638

Mailing address

13737 Noel Rd
Ste 1600
Dallas, TX 75240-1331
Phone (469) 401-2386

Other providers in Jasper, TN

All providers in Jasper, TN · Emergency Medicine Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.