Organization
TIDWELL FAMILY VENTURES LLC
Active
Other names
Portland Family Care and Walk-In Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY TIDWELL NP (MEMBER)
(615) 323-1020
Entity
Organization
Contact information
Practice address
505 S BROADWAY, PORTLAND, TN 37148-1438
(615) 323-1020
(615) 323-1021
Mailing address
505 S BROADWAY, PORTLAND, TN 37148-1438
(615) 323-1020
(615) 323-1021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1755
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
10971
TN
363LF0000X
Family Nurse Practitioner
13982
TN
Other
Enumeration date
02/08/2009
Last updated
08/05/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us