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Contact Information

HQM OF MONTEAGLE, LLC
26 SECOND STREET
MONTEAGLE, TN37356
 Phone: 931-924-2041
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for HQM OF MONTEAGLE, LLC

NPI # 1811941230
LBN Legal business name HQM OF MONTEAGLE, LLC
Authorized official PAUL WALCZAK - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/20/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
TN License # 0099
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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