Provider Demographics
NPI:1043480908
Name:COMPANYCARE, PC
Entity Type:Organization
Organization Name:COMPANYCARE, PC
Other - Org Name:MDATHOME
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO/CMO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:WERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-636-4073
Mailing Address - Street 1:209 S JEFFERSON ST
Mailing Address - Street 2:SUITE 1044
Mailing Address - City:WINCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37398-1739
Mailing Address - Country:US
Mailing Address - Phone:931-636-4073
Mailing Address - Fax:
Practice Address - Street 1:761 GIPSON LN
Practice Address - Street 2:
Practice Address - City:DECHERD
Practice Address - State:TN
Practice Address - Zip Code:37324-4055
Practice Address - Country:US
Practice Address - Phone:931-636-4073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN27013202C00000X, 207P00000X, 2083P0500X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental MedicineGroup - Multi-Specialty
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical ExaminerGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty