Northwest Tennessee Development District

LBN: Northwest Tennessee Development District
Northwest Tennessee Development District is an health care organization with primary practice located at 124 Weldon Dr , Martin TN 38237-1308. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Northwest Tennessee Development District can be contacted via phone (731) 587-4213, or through Bucy, John A via phone (731) 587-4213.

Contact Information

Primary practice address
124 Weldon Dr Martin TN 38237-1308
Phone: (731) 587-4213
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bucy, John A
Phone: (731) 587-4213

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1114117751
LBN Legal business name Northwest Tennessee Development District
DBA Doing business as
Authorized official Bucy, John A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2007
Last updated Oct 31st, 2007 - about 18 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 1114117751 NPPES
Tennessee MEDICAID 0445784

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