TNCOVIDDEFENSE; NPI #1801560768

Contact Information

TNCOVIDDEFENSE

33 REYNOLDS ST
MCKENZIE, TN 38201-2051

Phone: 731-358-4062
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Nursing Care	251J00000X
Community Health	261QC1500X
Health Maintenance Organization	302R00000X
Home Health	251E00000X	A4[11]	Home Health Agency
Public Health, State or Local	261QP0905X

Indicates primary specialty

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NPI Profile & details for TNCOVIDDEFENSE

NPI #	`1801560768`
LBN Legal business name	TNCOVIDDEFENSE
Authorized official	MICHAEL FULLER - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/04/2021
Last updated	08/04/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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