CRMC MSO SUB 1 INCORPORATED NPI 1972648319

NPI Information

CRMC MSO SUB 1, INCORPORATED is a specialist in Cookeville, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CRMC MSO SUB 1, INCORPORATED NPI is 1972648319. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tennessee Heart.

The provider's business location address is:

228 W. 4TH STREET
SUITE 200
COOKEVILLE, TN
ZIP 38501
Phone: (931) 372-0405
Fax: (931) 372-0463

The provider's authorized official is Marilyn C Key .
The authorized official title is Ceo and has the following contact phone number (931) 783-2481.

The CLIA number assigned to this NPI record is 44D2084548 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 6/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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