Center On Developmental Disabilities

LBN: University Of Tennessee
Center On Developmental Disabilities is an health care organization with primary practice located at 920 Madison Ave Ste 939 , Memphis TN 38103-3438. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. University Of Tennessee can be contacted via phone (901) 448-6511, or through Keisling, Bruce via phone (901) 448-6511.

Contact Information

Primary practice address
920 Madison Ave Ste 939 Memphis TN 38103-3438
Phone: (901) 448-6511
Fax: (901) 448-3844
Website:
Map and Directions
Authorized official contact:
Name: Keisling, Bruce PHD
Phone: (901) 448-6511

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X LM222M20956033 Tennessee

Profile Details

NPI number 1427064880
LBN Legal business name University Of Tennessee
DBA Doing business as Center On Developmental Disabilities
Authorized official Keisling, Bruce PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2006
Last updated Aug 14th, 2023 - about last year

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 1427064880 NPPES
Tennessee MEDICAID 4447962

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