Provider Demographics
NPI:1548556350
Name:FOCUS MEDICAL CLINIC
Entity Type:Organization
Organization Name:FOCUS MEDICAL CLINIC
Other - Org Name:FOCUS CLINICAL SERVICES, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:615-262-6888
Mailing Address - Street 1:213 W MAPLEWOOD LN
Mailing Address - Street 2:SUITE 400
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2986
Mailing Address - Country:US
Mailing Address - Phone:615-262-6888
Mailing Address - Fax:615-262-6828
Practice Address - Street 1:213 W MAPLEWOOD LN
Practice Address - Street 2:SUITE 400
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2986
Practice Address - Country:US
Practice Address - Phone:615-262-6888
Practice Address - Fax:615-262-6828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN31631041C0700X
TN0000302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No302R00000XManaged Care OrganizationsHealth Maintenance OrganizationGroup - Multi-Specialty