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Contact Information

LP MONTEAGLE LLC
26 SECOND ST
MONTEAGLE, TN37356
 Phone: 931-392-3003
 Fax: 931-924-2055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for LP MONTEAGLE LLC

NPI # 1528259561
LBN Legal business name LP MONTEAGLE LLC
Authorized official JOHN HARRISON - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/06/2007
Last updated 04/03/2023 - About 3 years ago
Identifiers
TN License # 99
TN Medicaid 0445393
TN Medicaid 7440422
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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