Organization
A PATTERN MEDICAL CLINIC
Active
Organization
A PATTERN MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNEX LUBERISSE (DIRECTOR OF OPERATIONS)
(660) 229-0858
Entity
Organization
Contact information
Practice address
5545 LITTLE DEBBIE PKWY, OOLTEWAH, TN 37363-4357
(423) 455-2711
(423) 465-4589
Mailing address
5545 LITTLE DEBBIE PKWY, OOLTEWAH, TN 37363-4357
(660) 229-0858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
AL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q057324
—
TN
Enumeration date
08/03/2018
Last updated
09/06/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up