Omni Community Health

LBN: Omni Community Health
Omni Community Health is an health care organization with primary practice located at 665 South Jefferson Ave , Cookeville TN 38501-4011. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Nursing Service Providers / Community Health, Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Licensed Practical Nurse, Allopathic & Osteopathic Physicians / Psychiatry, Agencies / Case Management, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Omni Community Health can be contacted via phone (931) 528-0051, or through Just, Mark via phone (615) 726-3603.

Contact Information

Primary practice address
665 South Jefferson Ave Cookeville TN 38501-4011
Phone: (931) 528-0051
Fax: (931) 582-0021
Website:
Map and Directions
Authorized official contact:
Name: Just, Mark
Phone: (615) 726-3603

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X L 214-017-3653 Tennessee
Behavioral Health & Social Service Providers / Psychologist 103T00000X L 214-017-3653 Tennessee
Behavioral Health & Social Service Providers / Social Worker 104100000X L 214-017-3653 Tennessee
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X L 214-017-3653 Tennessee
Nursing Service Providers / Community Health 163WC1500X L 214-017-3653 Tennessee
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X L 214-017-3653 Tennessee
Nursing Service Providers / Licensed Practical Nurse 164W00000X L 214-017-3653 Tennessee
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X L 214-017-3653 Tennessee
Agencies / Case Management 251B00000X L214-017-3653 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X L 214-017-3653 Tennessee

Profile Details

NPI number 1881743805
LBN Legal business name Omni Community Health
DBA Doing business as
Authorized official Just, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Sep 2nd, 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 1881743805 NPPES
Tennessee MEDICAID Q019886
Tennessee MEDICAID 3376955

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