Cookeville Cardiac Anesthesia, P.C.

LBN: Cookeville Cardiac Anesthesia, P.C.
Cookeville Cardiac Anesthesia, P.C. is an health care organization with primary practice located at 682 Canter Ln , Cookeville TN 38501-4523. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Cookeville Cardiac Anesthesia, P.C. can be contacted via phone (931) 526-8513, or through Clemons, Steven L via phone (931) 526-8513.

Contact Information

Primary practice address
682 Canter Ln Cookeville TN 38501-4523
Fax: (931) 526-5422
Website:
Authorized official contact:
Name: Clemons, Steven L Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1396767968
LBN Legal business name Cookeville Cardiac Anesthesia, P.C.
DBA Doing business as
Authorized official Clemons, Steven L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2006
Last updated Aug 24th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396767968 NPPES
Tennessee MEDICAID 3732052

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