South Central Heart Group Inc

LBN: South Central Heart Group Inc
South Central Heart Group Inc is an health care organization with primary practice located at 1220 Trotwood Ave Suite 401, Columbia TN 38401-6433. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. South Central Heart Group Inc can be contacted via phone (931) 388-8622, or through Hill, Gary Todd via phone (931) 540-4255.

Contact Information

Primary practice address
1220 Trotwood Ave Suite 401 Columbia TN 38401-6433
Phone: (931) 388-8622
Fax: (931) 388-8227
Website:
Map and Directions
Authorized official contact:
Name: Hill, Gary Todd
Phone: (931) 540-4255

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1700836202
LBN Legal business name South Central Heart Group Inc
DBA Doing business as
Authorized official Hill, Gary Todd
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Apr 4th, 2008 - about 16 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 1700836202 NPPES
Tennessee Other 4074604 BLUECROSS BLUESHIELD
Tennessee MEDICAID 3379860 BLUECROSS BLUESHIELD

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