Coffee Medical Group Llc in Manchester - Rural
Coffee Medical Group Llc - NPI 1013969179
Coffee Medical Group Llc is a Rural in Manchester, Tennessee. Coffee Medical Group Llc practices all healthcare services and medical treatments related to Rural. The NPI Number for Coffee Medical Group Llc is 1013969179. The last update date is 2022-04-13.
Coffee Medical Group Llc's current location address is 481 Interstate Dr, Manchester, Tennessee. You can contact this provider via phone number 9317286354. The mailing address for Coffee Medical Group Llc is 481 Interstate Dr, Manchester, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coffee Medical Group Llc |
|---|---|
| Address | 481 Interstate Dr, Manchester, Tennessee |
| Phone Number | 9317286354 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Mccormick E Martha |
| Telephone Number | 9317286354 |
NPI Number Detail
| NPI Number | 1013969179 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2022-04-13 |
Provider Mailing Address Detail
| Address | 481 Interstate Dr |
|---|---|
| City | Manchester |
| State | Tennessee (TN) |
| Post Code | 373553108 |
| Phone Number | 9317286354 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Rural |
|---|---|
| Taxonomy | 282Nr1301X |
| Licence No | 17 |
|
Definition: Provides comprehensive inpatient medical and surgical care in rural areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4039933 | BCBS | ||
| 4039933 | BLUE CARE TENN CARE SEL | ||
| 440007 | TN | -- | |
| 4039933 | BCBST |
Post Comment/ Review Below
What is the Coffee Medical Group Llc's 1013969179?
The Coffee Medical Group Llc's NPI (National Provider Identifier) Number is 1013969179. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Coffee Medical Group Llc's facilities are geographically located?
The facilities of Coffee Medical Group Llc are physically situated at the following location: 481 Interstate Dr, Manchester, TN, 373553108.
What is Coffee Medical Group Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Coffee Medical Group Llc is Rural, and the taxonomy code that categorizes this field of expertise is 282Nr1301X.
When was the Coffee Medical Group Llc's 1013969179 issued?
The Coffee Medical Group Llc's 1013969179 was issued on 2006-05-17.
As of what date was the information pertaining to Coffee Medical Group Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Coffee Medical Group Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-04-13.
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