| Vip Children's Clinic - Lafayette | |
|
306 W Locust St Lafayette TN 37083-1713 | |
| (615) 688-7012 | |
| (615) 452-7862 |
| Full Name | Vip Children's Clinic - Lafayette |
|---|---|
| Speciality | Clinic/Center |
| Location | 306 W Locust St, Lafayette, Tennessee |
| Authorized Official Name and Position | Robert Nick Branham (PRESIDENT) |
| Authorized Official Contact | 6154519246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Children's Clinic - Lafayette 3841 Green Hills Village Dr Ste 200 Nashville TN 37215-2691 | Vip Children's Clinic - Lafayette 306 W Locust St Lafayette TN 37083-1713 Ph: (615) 688-7012 |
| NPI Number | 1588247811 |
|---|---|
| Provider Enumeration Date | 05/04/2021 |
| Last Update Date | 03/23/2026 |
| Certification Date | 03/23/2026 |
| Medicare PECOS PAC ID | 1759272982 |
|---|---|
| Medicare Enrollment ID | O20210707000459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588247811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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