Tennessee Heart
LBN: Crmc Mso Sub 1, Incorporated
Tennessee Heart is an health care organization with primary practice located at 228 W. 4Th Street Suite 200, Cookeville TN 38501. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Other Service Providers / Specialist is the primary health care specialty.
Crmc Mso Sub 1, Incorporated can be contacted via phone (931) 372-0405, or through Key, Marilyn C via phone (931) 783-2481.
Contact Information
Primary practice address
228 W. 4Th Street Suite 200
Cookeville TN 38501
Phone: (931) 372-0405
Fax: (931) 372-0463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1972648319 |
|---|---|
| LBN Legal business name | Crmc Mso Sub 1, Incorporated |
| DBA Doing business as | Tennessee Heart |
| Authorized official | Key, Marilyn C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 16th, 2024 - about last year |
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 | 1972648319 | NPPES |
| Tennessee | MEDICAID | 3732135 |
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