Evergreen Presbyterian Ministries, Inc.
LBN: Evergreen Presbyterian Ministries Of West Tn
Evergreen Presbyterian Ministries, Inc. is an health care organization with primary practice located at 5154 Stage Rd Suite 100, Memphis TN 38134-3118. 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 West Tn can be contacted via phone (901) 381-9370, or through Taylor, John R via phone (318) 742-8440.
Contact Information
Primary practice address
5154 Stage Rd Suite 100
Memphis TN 38134-3118
Phone: (901) 381-9370
Fax: (901) 381-9368
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X |
Profile Details
| NPI number | 1063530442 |
|---|---|
| LBN Legal business name | Evergreen Presbyterian Ministries Of West 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063530442 | NPPES |
| Tennessee | MEDICAID | 00E21 |
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