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Contact Information

CHRISTIAN CARE CENTER OF SPRINGFIELD LLC
704 5TH AVE E
SPRINGFIELD, TN37172-2604
 Phone: 615-384-7977
 Fax: 615-382-1023
 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 CHRISTIAN CARE CENTER OF SPRINGFIELD LLC

NPI # 1932183134
LBN Legal business name CHRISTIAN CARE CENTER OF SPRINGFIELD LLC
Authorized official JIMMY LEWIS - (CHIEF MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2005
Last updated 03/06/2008 - About 18 years ago
Identifiers
TN License # 0000000214
TN Medicaid 0445480
TN Medicaid 7440061
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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