Provider Demographics
NPI:1669818050
Name:WALK-IN MEDICAL CLINIC OF LINDEN PLLC
Entity Type:Organization
Organization Name:WALK-IN MEDICAL CLINIC OF LINDEN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MNANGER
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-589-2600
Mailing Address - Street 1:PO BOX 56
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:TN
Mailing Address - Zip Code:37096-0056
Mailing Address - Country:US
Mailing Address - Phone:931-589-2600
Mailing Address - Fax:931-589-2602
Practice Address - Street 1:847 SQUIRREL HOLLOW DR
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:TN
Practice Address - Zip Code:37096-6479
Practice Address - Country:US
Practice Address - Phone:931-589-2600
Practice Address - Fax:931-589-2602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-13
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Multi-Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1532222Medicaid
TN1532222Medicaid