Provider Demographics
NPI:1205826005
Name:TENNESSEE URGENT CARE ASSOCIATES, LLC
Entity Type:Organization
Organization Name:TENNESSEE URGENT CARE ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:CRANFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-865-8500
Mailing Address - Street 1:2510 MURFREESBORO ROAD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-3547
Mailing Address - Country:US
Mailing Address - Phone:615-399-6898
Mailing Address - Fax:615-399-6901
Practice Address - Street 1:2510 MURFREESBORO ROAD
Practice Address - Street 2:SUITE 2
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3547
Practice Address - Country:US
Practice Address - Phone:615-399-6898
Practice Address - Fax:615-399-6901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-24
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN117629261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
3932010005Medicare NSC
TN3719780Medicare PIN