Gainesboro Ultimate Med Service Corporation
Organization Active NPI Primary Care Clinic/Center · Gainesboro, TN
NPI 1861704587 · NPPES record last updated Jul 10, 2010
Key facts
- NPI
- 1861704587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- GAINESBORO ULTIMATE MED SERVICE CORPORATION
- Practice address
- 179 Buck Branch LN
Gainesboro, TN 38562 - Phone
- (931) 303-0012
- Fax
- (931) 241-5444
- NPI assigned
- Jul 10, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Yennier Capote
- Title
- President
- Phone
- (931) 303-0012
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
179 Buck Branch LN
Gainesboro, TN 38562
Mailing address
179 Buck Branch LN
Gainesboro, TN 38562
Phone (931) 303-0012
Other providers in Gainesboro, TN
- Jerry Ray Driver
- Douglas C Dycus
- Jessica Foster
- Renee Franklin
- Gainesboro RX Corp
- Linda Ruth Gaumont
- Gaw Family Dentistry
- Brad Thomas Gaw
- Ted W. Gaw
- Grandkin Caregivers LLC
All providers in Gainesboro, TN · Primary Care Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.