Diverse Medical Management, INC.
Social Worker in McMinnville, TN. Organization (NPI-2).
NPI number1235548504
StatusActive
Last updated in NPPESOct 17, 2018
Details
- NPI
- 1235548504
- Entity type
- Organization (NPI-2)
- Legal business name
- Diverse Medical Management, INC.
- Organization subpart
- No
- Enumeration date
- Aug 12, 2014
- Last updated
- Oct 17, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 4633 | TN | Yes |
Practice location
82 Beckridge RdMcMinnville, TN 37110-5006
Phone 931-409-4350
Mailing address
82 Beckridge RdMcMinnville, TN 37110-5006
Phone 931-409-4350
Other practice locations
9057 Manchester Hwy
Morrison, TN 37357
Morrison, TN 37357
Phone 931-815-8525 · Fax 931-315-9037
Authorized official
Natalie Frey
Authorized Rep/Office Manager
9318158525
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