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Contact Information

180 RED INC
93 BEAUMONT ST
CLARKSVILLE, TN37040-3217
 Phone: 931-274-7588
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for 180 RED INC

NPI Number 1679389100
LBN Legal business name 180 RED INC
Authorized official JEREMY LYNCH - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/09/2024
Last updated 12/09/2024 - More than a year 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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