Tennessee Department Of Intellectual And Developmental Disabilities
LBN: State Of Tennessee
Tennessee Department Of Intellectual And Developmental Disabilities is an health care organization with primary practice located at 4850 E Andrew Johnson Hwy Didd East Tn Seating And Positioning Clinic, Greeneville TN 37745-3098. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is the primary health care specialty.
State Of Tennessee can be contacted via phone (423) 787-6689, or through Iverson, Lance Derek via phone (615) 253-6710.
Contact Information
Primary practice address
4850 E Andrew Johnson Hwy Didd East Tn Seating And Positioning Clinic
Greeneville TN 37745-3098
Phone: (423) 787-6689
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
| NPI number | 1477966976 |
|---|---|
| LBN Legal business name | State Of Tennessee |
| DBA Doing business as | Tennessee Department Of Intellectual And Developmental Disabilities |
| Authorized official | Iverson, Lance Derek |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 3rd, 2014 |
| Last updated | Jun 29th, 2016 - about 8 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 | 1477966976 | NPPES |
| Tennessee | MEDICAID | Q017827 |
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