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Contact Information

CENTENNIAL HEART LLC
2400 PATTERSON ST
SUITE 502
NASHVILLE, TN37203-1562
 Phone: 615-515-1900
 Fax: 615-515-1993
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CENTENNIAL HEART LLC

NPI Number 1245393057
LBN Legal business name CENTENNIAL HEART LLC
Authorized official LOUIS JOSEPH - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2006
Last updated 07/18/2024 - More than a year ago
Identifiers
TN Medicaid 3736113
TN Other DF6153 RR MEDICARE
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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