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Contact Information

BEHAVIORAL HEALTH OF ROCKY TOP, LLC
210 INDUSTRIAL PARK LN
ROCKY TOP, TN37769-2301
 Phone: 865-392-9200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BEHAVIORAL HEALTH OF ROCKY TOP, LLC

NPI Number 1164012068
LBN Legal business name BEHAVIORAL HEALTH OF ROCKY TOP, LLC
Authorized official JOHN HARRELL - (AR MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/25/2021
Last updated 01/25/2021 - About 5 years ago
Identifiers
TN Medicaid Q046356
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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