Landmark Healthcare

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LANDMARK HEALTHCARE

Practice address

1119 E College St Ste 3
Pulaski, TN 38478-4564

Phone

(931) 347-9125

Fax

(931) 347-9217

NPI assigned

Sep 4, 2020

Organization subpart

No

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

Authorized official

Name

Miss Brooke Braden

Title

Practice Manager

Phone

(931) 347-9125

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1831703933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 E COLLEGE ST STE 3",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784564",
            "telephone_number": "931-347-9125",
            "fax_number": "931-347-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 E COLLEGE ST STE 3",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784564",
            "telephone_number": "931-347-9125",
            "fax_number": "931-347-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "BRADEN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "931-347-9125",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Pulaski, TN
• Providers in Pulaski, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.