COFFEE COUNTY PHYSICIAN GROUP PC
NPI 1437164878
Emergency Medicine in Manchester, TN
About Coffee County Physician Group Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COFFEE COUNTY PHYSICIAN GROUP PC (NPI 1437164878) is a healthcare organization registered as an emergency medicine in Manchester, Tennessee and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Russellville and lists Kenneth Ware, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Practice Location 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D0997950
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- April 01, 2024
- Certificate Expiration Date
- March 31, 2026
- Laboratory Director
- DR. JOHNNY BATES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Coffee County Physician Group Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
MANCHESTER, TN 37355
MANCHESTER, TN 37355
MANCHESTER, TN 37355
MANCHESTER, TN 37355
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437164878, enumerated as an "organization" on July 31, 2006.
The provider is located at 481 INTERSTATE DR MANCHESTER, TN 37355 and the phone number is (931) 728-6354.
Emergency Medicine with taxonomy code 207P00000X.
The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
