National Provider Identifier Database

MARTIN HEALTH
Rural Health


Contact Information

MARTIN HEALTH
1135 BROADWAY STREET
SOUTH FULTON, TN38257-2835
Phone: 731-479-2606
Fax: 731-479-2610
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for MARTIN HEALTH

NPI Number 1669876520
Legal business name
LBN
MARTIN HEALTH
Authorized official TINA PRESCOTT - (PRESIDENT AND CEO)
Entity Organization
Organization subpart No
Enumeration date 10/21/2014
Last updated 10/14/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 0000000126
  • TN Medicaid: 044-3449
  • TN Medicaid: Q012738

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MARTIN HEALTH

There are currently no reviews for MARTIN HEALTH


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