Evergreen Presbyterian Ministries, Inc.

LBN: Evergreen Presbyterian Ministries Of East Tn
Evergreen Presbyterian Ministries, Inc. is an health care organization with primary practice located at 1304 Wilson Rd Suite 105, Knoxville TN 37912-5693. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Evergreen Presbyterian Ministries Of East Tn can be contacted via phone (865) 689-4022, or through Taylor, John R via phone (318) 742-8440.

Contact Information

Primary practice address
1304 Wilson Rd Suite 105 Knoxville TN 37912-5693
Fax: (865) 689-4054
Website:
Authorized official contact:
Name: Taylor, John R

Profile Details

NPI number 1508984972
LBN Legal business name Evergreen Presbyterian Ministries Of East Tn
DBA Doing business as Evergreen Presbyterian Ministries, Inc.
Authorized official Taylor, John R
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1508984972 NPPES
Tennessee MEDICAID 00678

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