Wyndridge Health Systems

LBN: Wyndridge Health Systems
Wyndridge Health Systems is an health care organization with primary practice located at 456 Wayne Avenue , Crossville TN 38555. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Wyndridge Health Systems can be contacted via phone (931) 484-6129, or through Cochran, Gary E via phone (931) 484-6129.

Contact Information

Primary practice address
456 Wayne Avenue Crossville TN 38555
Phone: (931) 484-6129
Fax: (931) 484-2685
Website:
Map and Directions
Authorized official contact:
Name: Cochran, Gary E
Phone: (931) 484-6129

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0000000312 Tennessee

Profile Details

NPI number 1932298700
LBN Legal business name Wyndridge Health Systems
DBA Doing business as
Authorized official Cochran, Gary E
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Sep 21st, 2007 - about 17 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 1932298700 NPPES
Tennessee MEDICAID 1454116
Tennessee Other 4011143

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