Coffee Medical Group Llc in Manchester - Skilled Nursing Facility

Coffee Medical Group Llc - NPI 1063509271

Coffee Medical Group Llc is a Skilled Nursing Facility in Manchester, Tennessee. Coffee Medical Group Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Coffee Medical Group Llc is 1063509271. The last update date is 2008-06-20.

Coffee Medical Group Llc's current location address is 1001 Mcarthur Drive, Manchester, Tennessee. You can contact this provider via phone number 9317283586 and fax number 9317230781. The mailing address for Coffee Medical Group Llc is 1001 Mcarthur Drive, Manchester, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Coffee Medical Group Llc
Address 1001 Mcarthur Drive, Manchester, Tennessee
Phone Number 9317283586
Fax Number 9317230781
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BUSINESS O
Authorized Official Name Hopkins B Holly
Telephone Number 9314613425

NPI Number Detail

NPI Number 1063509271
Provider Enumeration Date 2006-10-07
Last Updated Date 2008-06-20

Provider Mailing Address Detail

Address 1001 Mcarthur Drive
City Manchester
State Tennessee (TN)
Post Code 37355
Phone Number 9317283586
Fax Number 9317230781

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 445383
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4039933 TN BCBS
445383 TN --
7440354 TN --

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FAQs about Coffee Medical Group Llc

What is the unique 10-digit identification code assigned to Coffee Medical Group Llc by the Centers for Medicare & Medicaid Services?

The Coffee Medical Group Llc has been issued the NPI (National Provider Identifier) 1063509271, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Coffee Medical Group Llc is physically located?

The Coffee Medical Group Llc is physically situated at the following address: 1001 Mcarthur Drive, Manchester, TN, 37355.

What is the Coffee Medical Group Llc's area of specialization and corresponding taxonomy classification?

The Coffee Medical Group Llc's specialty field is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1063509271 to Coffee Medical Group Llc?

The Centers for Medicare & Medicaid Services originally issued the 1063509271 to Coffee Medical Group Llc on 2006-10-07.

When was the information pertaining to Coffee Medical Group Llc most recently updated or revised?

The details related to Coffee Medical Group Llc, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-20.

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