Organization Active NPI

Crowder Family Healthcare LLC

  • Medical Specialty Clinic/Center
  • Hartsville, TN
National Provider Identifier
1760794499
Registry record updated Jul 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
113595 Issued in TN
Legal business name
CROWDER FAMILY HEALTHCARE LLC
Practice address
211 McMurry Blvd E
Hartsville, TN 37074-1109
Phone
(615) 374-4700
Fax
(615) 374-4131
NPI assigned
Jul 10, 2010
Last updated
Jul 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2010

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

Authorized official

Name
Mrs. Dorothy A Crowder, FNP
Title
FNP
Phone
(615) 374-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 113595 TN Primary

Addresses

Primary practice location

211 McMurry Blvd E
Hartsville, TN 37074-1109

Mailing address

211 McMurry Blvd E
Hartsville, TN 37074-1109
Phone (615) 374-4700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278720000000",
    "number": "1760794499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MCMURRY BLVD E",
            "city": "HARTSVILLE",
            "state": "TN",
            "postal_code": "370741109",
            "telephone_number": "615-374-4700",
            "fax_number": "615-374-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MCMURRY BLVD E",
            "city": "HARTSVILLE",
            "state": "TN",
            "postal_code": "370741109",
            "telephone_number": "615-374-4700",
            "fax_number": "615-374-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWDER FAMILY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A",
        "authorized_official_last_name": "CROWDER",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "615-374-4700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": "113595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.