Cedar Recovery Of Middle Tennessee, Llc

LBN: Cedar Recovery Of Middle Tennessee, Llc
Cedar Recovery Of Middle Tennessee, Llc is an health care organization with primary practice located at 2525 Perimeter Place Dr Ste 105 , Nashville TN 37214-3674. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Cedar Recovery Of Middle Tennessee, Llc can be contacted via phone (615) 257-6844, or through Trivette, Paul Stephen via phone (423) 914-1518.

Contact Information

Primary practice address
2525 Perimeter Place Dr Ste 105 Nashville TN 37214-3674
Fax: (615) 549-7044
Website:
Authorized official contact:
Name: Trivette, Paul Stephen

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1124861406
LBN Legal business name Cedar Recovery Of Middle Tennessee, Llc
DBA Doing business as
Authorized official Trivette, Paul Stephen
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2024
Last updated Jun 14th, 2024 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124861406 NPPES
Tennessee MEDICAID Q090493

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