Health Care Provider in Johnson City - Public Health Or Welfare
Health Care Provider - NPI 1568640456
Health Care Provider is a Public Health Or Welfare in Johnson City, Tennessee. Health Care Provider practices all healthcare services and medical treatments related to Public Health Or Welfare. The NPI Number for Health Care Provider is 1568640456. The last update date is 2008-02-04.
Health Care Provider's current location address is 415 State Of Franklin Rd, Johnson City, Tennessee. You can contact this provider via phone number 4239752200. The mailing address for Health Care Provider is 415 State Of Franklin Rd, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Health Care Provider |
|---|---|
| Address | 415 State Of Franklin Rd, Johnson City, Tennessee |
| Phone Number | 4239752200 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | RN 2 |
|---|---|
| Authorized Official Name | Davis Cooter Lorinda |
| Credentials | RN, BSN |
| Telephone Number | 4239752200 |
NPI Number Detail
| NPI Number | 1568640456 |
|---|---|
| Provider Enumeration Date | 2008-02-04 |
| Last Updated Date | 2008-02-04 |
Provider Mailing Address Detail
| Address | 415 State Of Franklin Rd |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376046034 |
| Phone Number | 4239752200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Public Health Or Welfare |
|---|---|
| Taxonomy | 251K00000X |
| Licence No | 144981 |
|
Definition: Government-funded agency providing population health, disease prevention, emergency preparedness and health education services. |
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What is the Health Care Provider's 1568640456?
The Health Care Provider's NPI (National Provider Identifier) Number is 1568640456. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Health Care Provider is located?
The Health Care Provider is situated at the following address: 415 State Of Franklin Rd, Johnson City, TN, 376046034.
What is Health Care Provider's area of expertise and its corresponding taxonomy classification?
The Health Care Provider's field of specialization is Public Health Or Welfare, and it falls under the taxonomy code 251K00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1568640456 assigned to Health Care Provider?
The Health Care Provider was issued its 1568640456 on 2008-02-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Health Care Provider's details last updated?
The information pertaining to the Health Care Provider, including its address, specialty, and other details, was most recently updated on 2008-02-04.