Jabbok Treatment Center, Llc.

LBN: Jabbok Treatment Center, Llc.
Jabbok Treatment Center, Llc. is an health care organization with primary practice located at 40 Irwin St , Savannah TN 38372-3084. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Jabbok Treatment Center, Llc. can be contacted via phone (731) 727-5603, or through Irwin, Jacqueline D via phone 77316167753.

Contact Information

Primary practice address
40 Irwin St Savannah TN 38372-3084
Phone: (731) 727-5603
Fax: (731) 925-2114
Website:
Map and Directions
Authorized official contact:
Name: Irwin, Jacqueline D
Phone: 77316167753

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 207QA0401X Tennessee

Profile Details

NPI number 1740639962
LBN Legal business name Jabbok Treatment Center, Llc.
DBA Doing business as
Authorized official Irwin, Jacqueline D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2016
Last updated Jun 8th, 2016 - about 8 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 1740639962 NPPES
Tennessee MEDICAID 1521170
Tennessee MEDICAID 02000211

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