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Contact Information

COMMUNITY CARE OF RUTHERFORD COUNTY, INC.
901EAST COUNTY FARM RD
MURFREESBORO, TN37127-6328
 Phone: 615-893-2624
 Fax: 615-898-7989
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for COMMUNITY CARE OF RUTHERFORD COUNTY, INC.

NPI # 1508866898
LBN Legal business name COMMUNITY CARE OF RUTHERFORD COUNTY, INC.
Authorized official MARK KING - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/28/2005
Last updated 11/26/2008 - About 18 years ago
Identifiers
TN License # 0000000219
TN Medicaid 0445406
TN Medicaid 7440175
TN Other 3110468 BLUE CROSS BLUE SHIELD
TN Other 4100484 BLUECROSS ALLIED PROVIDER
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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