Organization
FAMILY CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA HERRIN HILL APN (OWNER)
(931) 474-4700
Entity
Organization
Contact information
Practice address
306 N CHANCERY ST, MCMINNVILLE, TN 37110-2048
(931) 474-4700
(931) 474-4701
Mailing address
306 N CHANCERY ST, MCMINNVILLE, TN 37110-2048
(931) 474-4700
(931) 474-4701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01032615
AMERIGROUP
TN
05
—
3649680
—
TN
01
—
TN0101
AMERICHOICE
TN
Enumeration date
02/18/2013
Last updated
01/15/2021
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