Organization provider
CROCKETT MEDICAL CLINIC INC
CMS NPPES lists CROCKETT MEDICAL CLINIC INC as an organization provider record with NPI 1104839703. The current record reports a primary practice location in ALAMO, TN and primary taxonomy code 261QR1300X.
Type 2 NPIs identify organizations such as practices, groups, and facilities; the NPI type alone does not establish a specific organization category. How to read this profile
01
Practice locations
- Primary practice location58 S. BELLS STALAMO, TN 38001
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
207Q00000XAdditional reported taxonomy261QP2300XAdditional reported taxonomy261QR1300XPrimary reported taxonomy363L00000XAdditional reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- August 14, 2006
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.