TN VALLEY; NPI #1356448633

Contact Information

TN VALLEY

1101 NEAL ST
SUITE 101
COOKEVILLE, TN 38501-0901

Phone: 931-525-1651
Fax: 931-525-2165
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	VA	261QV0200X

Indicates primary specialty

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NPI Profile & details for TN VALLEY

NPI Number 1356448633

LBN Legal business name TN VALLEY

Authorized official REXFORD AGBENOHEVI - (MD)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/20/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

0000046089

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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