| Organization Name: | HOUSE CALL MEDICAL CARE LLC |
| NPI Number: | 1114213899 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CRISTY STUMB (CEO) |
| Mailing Address: | 619 Main St N Ste B Carthage |
| State: | TN US |
| Postal Code: | 370301274 |
| Phone Number: | 6157356449 |
| Fax Number: | |
| NPI Enumeration Date: | 06/22/2011 |
| NPI Last Update Date: | 06/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 658718 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |