State Of Tennessee in Portland - Public Health Or Welfare
State Of Tennessee - NPI 1003090036
State Of Tennessee is a Public Health Or Welfare in Portland, Tennessee. State Of Tennessee practices all healthcare services and medical treatments related to Public Health Or Welfare. The NPI Number for State Of Tennessee is 1003090036. The last update date is 2012-08-28.
State Of Tennessee's current location address is 214 West Longview Drive, Portland, Tennessee. You can contact this provider via phone number 6153255237 and fax number 6153255549. The mailing address for State Of Tennessee is 214 West Longview Drive, Portland, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Organization | State Of Tennessee |
---|---|
Address | 214 West Longview Drive, Portland, Tennessee |
Phone Number | 6153255237 |
Fax Number | 6153255549 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | REGIONAL D |
---|---|
Authorized Official Name | Haley Annette |
Telephone Number | 6156507000 |
NPI Number Detail
NPI Number | 1003090036 |
---|---|
Provider Enumeration Date | 2007-12-27 |
Last Updated Date | 2012-08-28 |
Provider Mailing Address Detail
Address | 214 West Longview Drive |
---|---|
City | Portland |
State | Tennessee (TN) |
Post Code | 37148 |
Phone Number | 6153255237 |
Fax Number | 6153255549 |
Provider's Primary Taxonomy Detail
Speciality | Public Health Or Welfare |
---|---|
Taxonomy | 251K00000X |
Definition: Government-funded agency providing population health, disease prevention, emergency preparedness and health education services. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1511601 | TN | -- |
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What is the unique 10-digit identifier code issued to State Of Tennessee by the Centers for Medicare & Medicaid Services?
The State Of Tennessee has been assigned the NPI (National Provider Identifier) 1003090036 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of State Of Tennessee?
The State Of Tennessee is situated at 214 West Longview Drive, in the city of Portland, state of TN, with the zip code 37148.
What is State Of Tennessee's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for State Of Tennessee is Public Health Or Welfare, and the taxonomy code that categorizes this field of expertise is 251K00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003090036 to State Of Tennessee?
The State Of Tennessee received its 1003090036 assignment from the Centers for Medicare & Medicaid Services on 2007-12-27.
As of what date were the State Of Tennessee's details last updated?
The information pertaining to the State Of Tennessee, including its address, specialty, and other details, was most recently updated on 2012-08-28.
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