State Of Tennessee-Western Mental Health Institute

LBN: State Of Tennessee-Western Mental Health Institute
State Of Tennessee-Western Mental Health Institute is an health care organization with primary practice located at 11100 Highway 64 , Bolivar TN 38008-1554. The organization recently has only one registered license in Hospitals / Psychiatric Hospital, which is considered as the primary health care specialty. State Of Tennessee-Western Mental Health Institute can be contacted via phone (731) 228-2000, or through Taylor, Richard B via phone (731) 228-2044.

Contact Information

Primary practice address
11100 Highway 64 Bolivar TN 38008-1554
Fax: (731) 658-9822
Website:
Authorized official contact:
Name: Taylor, Richard B

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X L216-075-1114 Tennessee

Profile Details

NPI number 1538114020
LBN Legal business name State Of Tennessee-Western Mental Health Institute
DBA Doing business as
Authorized official Taylor, Richard B
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Aug 22nd, 2020 - about 5 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 1538114020 NPPES
Tennessee Other 10796/2003053 BLUE CROSS/BLUE SHIELD
Tennessee MEDICAID 444008/3282236 BLUE CROSS/BLUE SHIELD

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