| Northstar Healthcare Alpha Llc | |
|
1540 Appling Care Ln Ste 100 Cordova TN 38016-4947 | |
| (901) 202-0735 | |
| (901) 800-2487 |
| Full Name | Northstar Healthcare Alpha Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1540 Appling Care Ln Ste 100, Cordova, Tennessee |
| Authorized Official Name and Position | Kelsey Blevins (NATIONAL DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9013783561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstar Healthcare Alpha Llc 1540 Appling Care Ln Ste 100 Cordova TN 38016-4947 Ph: (901) 378-3561 | Northstar Healthcare Alpha Llc 1540 Appling Care Ln Ste 100 Cordova TN 38016-4947 Ph: (901) 202-0735 |
| NPI Number | 1346832623 |
|---|---|
| Provider Enumeration Date | 02/08/2021 |
| Last Update Date | 02/08/2021 |
| Medicare PECOS PAC ID | 6103233515 |
|---|---|
| Medicare Enrollment ID | O20210401000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346832623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Barry Workman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972543148 PECOS PAC ID: 9739420852 Enrollment ID: I20190417002060 |
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