Middle Tennessee O&P

LBN: Jerald C Gifford
Middle Tennessee O&P is an health care organization with primary practice located at 1411 Mark Allen Ln Ste C , Murfreesboro TN 37129-5556. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Jerald C Gifford can be contacted via phone (615) 809-2650, or through Gifford, Jerald Craig via phone (615) 809-2650.

Contact Information

Primary practice address
1411 Mark Allen Ln Ste C Murfreesboro TN 37129-5556
Fax: (615) 410-7392
Website:
Authorized official contact:
Name: Gifford, Jerald Craig CPO, LPO

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X PRO77, ORT99 Tennessee

Profile Details

NPI number 1851837686
LBN Legal business name Jerald C Gifford
DBA Doing business as Middle Tennessee O&P
Authorized official Gifford, Jerald Craig CPO, LPO
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2017
Last updated Oct 5th, 2020 - about 4 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 1851837686 NPPES
Tennessee MEDICAID Q035307

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