Organization
MORRISTOWN CLINIC CORP
Active
Parent organization
MORRISTOWN CLINIC CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
MORRISTOWN CLINIC CORP
Authorized official
DEBBIE T BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7000
Entity
Organization
Contact information
Practice address
1907 W MORRIS BLVD, SUITE D, MORRISTOWN, TN 37813-3860
(423) 581-0064
(423) 681-0065
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
(615) 465-7000
(615) 465-3007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
TN
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3370262
—
TN
01
—
DN0980
RAILROAD MEDICARE PIN
TN
Enumeration date
08/17/2006
Last updated
07/21/2022
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