Provider Demographics
NPI:1861569121
Name:BELL FAMILY MEDICAL CENTER
Entity type:Organization
Organization Name:BELL FAMILY MEDICAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIKANA
Authorized Official - Middle Name:CHIYEDZO
Authorized Official - Last Name:CHIHOMBORI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-895-6900
Mailing Address - Street 1:527 N MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-2833
Mailing Address - Country:US
Mailing Address - Phone:615-895-6900
Mailing Address - Fax:615-895-6912
Practice Address - Street 1:527 N MAPLE ST
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-2833
Practice Address - Country:US
Practice Address - Phone:615-895-6900
Practice Address - Fax:615-895-6912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD020666305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNMD020666OtherSTATE LICENSE NUMBER
TN3052354Medicaid
TNBC2268755OtherDEA NUMBER
TN=========OtherTAX IDENTIFICATION NUMBER
TN3052354Medicaid
TNBC2268755OtherDEA NUMBER