Broken Arrow

LBN: Broken Arrow
Broken Arrow is an health care organization with primary practice located at 1009 E Highway 11 E , Jefferson City TN 37760-4910. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Broken Arrow can be contacted via phone (865) 935-0411, or through Shank, Crissy via phone (931) 761-5732.

Contact Information

Primary practice address
1009 E Highway 11 E Jefferson City TN 37760-4910
Phone: (865) 935-0411
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shank, Crissy
Phone: (931) 761-5732

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X

Profile Details

NPI number 1720841042
LBN Legal business name Broken Arrow
DBA Doing business as
Authorized official Shank, Crissy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2024
Last updated Jan 31st, 2024 - about 10 months 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.

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