Provider Demographics
NPI:1093033318
Name:BARFIELD DISPENSARY, INC
Entity type:Organization
Organization Name:BARFIELD DISPENSARY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:DEMPSEY
Authorized Official - Last Name:HYDRICK
Authorized Official - Suffix:II
Authorized Official - Credentials:NP
Authorized Official - Phone:615-895-3600
Mailing Address - Street 1:2910 S CHURCH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37127-7149
Mailing Address - Country:US
Mailing Address - Phone:615-895-3600
Mailing Address - Fax:615-895-0024
Practice Address - Street 1:2910 S CHURCH ST
Practice Address - Street 2:SUITE B
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37127-7149
Practice Address - Country:US
Practice Address - Phone:615-895-3600
Practice Address - Fax:615-895-0024
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BARFIELD CLINIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-11
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN7765363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty