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Contact Information

STATE OF TENNESSEE
806 SOUTH BROWN STREET
SPRINGFIELD, TN37172
 Phone: 615-384-4504
 Fax: 615-384-2067
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for STATE OF TENNESSEE

NPI Number 1861709024
LBN Legal business name STATE OF TENNESSEE
Authorized official ANNETTE HALEY - (REGIONAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/09/2010
Last updated 08/28/2012 - About 14 years ago
Identifiers
TN Medicaid 4448020
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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