Mid-South Healthnet
LBN: Mid-South Healthnet
Mid-South Healthnet is an health care organization with primary practice located at 5909 Shelby Oaks Drive Suite 100 , Memphis TN 38134. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Agencies / Community/Behavioral Health is the primary health care specialty.
Mid-South Healthnet can be contacted via phone (901) 383-9193, or through Angell, Marlin via phone (901) 383-9193.
Contact Information
Primary practice address
5909 Shelby Oaks Drive Suite 100
Memphis TN 38134
Phone: (901) 383-9193
Fax: (901) 383-9195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | Tennessee |
Profile Details
| NPI number | 1821479254 |
|---|---|
| LBN Legal business name | Mid-South Healthnet |
| DBA Doing business as | |
| Authorized official | Angell, Marlin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 11th, 2015 |
| Last updated | Jun 15th, 2015 - about 9 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 | 1821479254 | NPPES |
| Tennessee | MEDICAID | Q013314 |
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