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Contact Information

MARTIN HEALTH
1135 BROADWAY STREET
SOUTH FULTON, TN38257-2835
 Phone: 731-479-2606
 Fax: 731-479-2610
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for MARTIN HEALTH

NPI # 1669876520
LBN Legal business name MARTIN HEALTH
Authorized official TINA PRESCOTT - (PRESIDENT AND CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/21/2014
Last updated 10/14/2024 - More than a year ago
Identifiers
TN License # 0000000126
TN Medicaid 044-3449
TN Medicaid Q012738
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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