Providence Health Solutions Llc

LBN: Providence Health Solutions Llc
Providence Health Solutions Llc is an health care organization with primary practice located at 1265 Interstate Dr , Cookeville TN 38501-5195. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Providence Health Solutions Llc can be contacted via phone (615) 942-7282, or through Shaub, Michael via phone (615) 942-7282.

Contact Information

Primary practice address
1265 Interstate Dr Cookeville TN 38501-5195
Phone: (615) 942-7282
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shaub, Michael
Phone: (615) 942-7282

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1841821873
LBN Legal business name Providence Health Solutions Llc
DBA Doing business as
Authorized official Shaub, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2020
Last updated Jan 29th, 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 1841821873 NPPES
Tennessee MEDICAID 1033421466

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