Organization · NPI-2
Sentef Medical Center
Clinic/Center · Ooltewah, TN
NPI number1043418742
StatusActive
Last updated in NPPESFeb 4, 2025
Details
- NPI
- 1043418742
- Entity type
- Organization (NPI-2)
- Legal business name
- Sentef Medical Center
- Organization subpart
- No
- Enumeration date
- Jul 5, 2007
- Certification date
- Feb 4, 2025
- Last updated
- Feb 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
9380 Bradmore Ln Ste 104Ooltewah, TN 37363-4447
Phone 423-760-4630 · Fax 423-760-4631
Mailing address
9380 Bradmore Ln Ste 104Ooltewah, TN 37363-4447
Phone 423-760-4630 · Fax 423-760-4631
Authorized official
Jeremy Plaster
Practice Manager
2376046304
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