Organization Name:  NWTSC,LLC


Practice Location:
1722 E REELFOOT AVE STE 1 UNION CITY, TN 38261 US
Tel: 731-885-6300  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	261QA1903X	Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical	TN	123

Other Provider Identifiers:

Issuer	Number	State	Type
DEPT OF LABOR	166028900	TN	01
TLC	15982	TN	01
BLUE CROSS/TNCARE SELECT	3151795	TN	01
	3288184	TN	05
RAILROAD MEDICARE	490004765	TN	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin