Bradley Extended Care Inc
LBN: Bradley Extended Care Inc
Bradley Extended Care Inc is an health care organization with primary practice located at 402 53Rd Ave N , Nashville TN 37209. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Long Term Care Pharmacy. Pharmacy Service Providers / Pharmacist is the primary health care specialty.
Bradley Extended Care Inc can be contacted via phone (615) 383-5391, or through Bradley, Phillip W via phone (615) 383-5391.
Contact Information
Primary practice address
402 53Rd Ave N
Nashville TN 37209
Phone: (615) 383-5391
Fax: (615) 383-7365
Website:
Authorized official contact:
Name: Bradley, Phillip W Doctor of Public Health (DPH)
Phone: (615) 383-5391
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 4025 | Tennessee |
Profile Details
| NPI number | 1689610008 |
|---|---|
| LBN Legal business name | Bradley Extended Care Inc |
| DBA Doing business as | |
| Authorized official | Bradley, Phillip W Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jan 29th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689610008 | NPPES |
| Tennessee | MEDICAID | 4437477 |
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