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Contact Information

SOUTHEAST MENTAL HEALTH CENTER, INC
135 N PAULINE ST
CBH - SOUTHEAST MENTAL HEALTH CENTER PHARMACY
MEMPHIS, TN38105-4619
 Phone: 901-577-6167
 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 SOUTHEAST MENTAL HEALTH CENTER, INC

NPI # 1669535779
LBN Legal business name SOUTHEAST MENTAL HEALTH CENTER, INC
Authorized official OWEN LAWRENCE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
TN License # 8296
TN Medicaid 399596
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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