STATE OF TENNESSEE; NPI #1003090036

Contact Information

STATE OF TENNESSEE

214 WEST LONGVIEW DRIVE
PORTLAND, TN 37148

Phone: 615-325-5237
Fax: 615-325-5549
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Public Health or Welfare	251K00000X	60	Public Health or Welfare Agency

Indicates primary specialty

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NPI Profile & details for STATE OF TENNESSEE

NPI # 1003090036

LBN Legal business name STATE OF TENNESSEE

Authorized official ANNETTE HALEY - (REGIONAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/27/2007

Last updated 08/28/2012 - About 14 years ago

Identifiers

Medicaid

1511601

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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STATE OF TENNESSEE

Contact Information

Specialty

Public Health or Welfare

NPI Profile & details for STATE OF TENNESSEE

Reviews for STATE OF TENNESSEE