Tennesee Department Of Health
Public Health or Welfare in Clarksville, TN. Organization (NPI-2).
NPI number1649259367
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1649259367
- Entity type
- Organization (NPI-2)
- Legal business name
- Tennesee Department Of Health
- Organization subpart
- No
- Enumeration date
- Jan 11, 2006
- Last updated
- Aug 22, 2020
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 |
|---|---|---|---|---|
| 251K00000X | Public Health or Welfare | DS 4582 | TN | Yes |
Practice location
330 Pageant LnClarksville, TN 37040-3854
Phone 931-648-7280 · Fax 931-648-7299
Mailing address
1008 Rambling Brook RdNashville, TN 37218-3608
Phone 615-299-0750 · Fax 615-299-0086
Authorized official
Andrea Shanks
Credentialing Coordinator
6156507053
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