NPIMap

Organization Active NPI

Travel Center Clinics

  • Primary Care Clinic/Center
  • Knoxville, TN
National Provider Identifier
1306086277
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4903535 Issued in TN
Legal business name
TRAVEL CENTER CLINICS
Practice address
13060 Palestine LN
Knoxville, TN 37934-0823
Phone
(865) 238-0288
NPI assigned
Mar 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Mr. Mike Crabtree
Title
Ceo
Phone
(865) 531-1542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4903535 TN Primary

Addresses

Primary practice location

13060 Palestine LN
Knoxville, TN 37934-0823

Mailing address

PO Box 30757
Knoxville, TN 37930-0757
Phone (865) 531-1542

Other names 1

  • Professional Drivers Medical Depot Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Professional Drivers Medical Depot7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1306086277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30757",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379300757",
            "telephone_number": "865-531-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13060 PALESTINE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379340823",
            "telephone_number": "865-238-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVEL CENTER CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "865-531-1542",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "4903535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Drivers Medical Depot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.