| Organization Name: | UCSC PRIMARY CARE - UNION COUNTY LLC |
| NPI Number: | 1386924686 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICK DOWNEY (MEDICAL DIRECTOR) |
| Mailing Address: | 598 John Deere Dr Maynardville |
| State: | TN US |
| Postal Code: | 378073212 |
| Phone Number: | 8659512012 |
| Fax Number: | 8659512575 |
| NPI Enumeration Date: | 08/18/2011 |
| NPI Last Update Date: | 08/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171W00000X |
| License Number: | MD36206 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |