Provider Demographics
NPI:1780022855
Name:ANYCARE LLC
Entity Type:Organization
Organization Name:ANYCARE LLC
Other - Org Name:ANYCARE 24
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ URGENT CARE PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:615-444-2121
Mailing Address - Street 1:702 S CUMBERLAND ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-4110
Mailing Address - Country:US
Mailing Address - Phone:615-444-2121
Mailing Address - Fax:615-547-6474
Practice Address - Street 1:702 S CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-4110
Practice Address - Country:US
Practice Address - Phone:615-444-2121
Practice Address - Fax:615-547-6474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-11
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X
TN261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1531797Medicaid
TN103G703721OtherMEDICARE GROUP PTAN