COMPREHENSIVE HEALTHCARE SYSTEMS OF LENOIR CITY, PC - NPI NUMBER 1598014482

Summary

Provider Name: COMPREHENSIVE HEALTHCARE SYSTEMS OF LENOIR CITY, PC

NPI Number: 1598014482

Clasification: Contractor (171W00000X)

Address:
780 HIGHWAY 321 NORTH STE 10
LENOIR CITY, TN
ZIP 37771

Phone Number: (865) 816-6301



Detailed Information

COMPREHENSIVE HEALTHCARE SYSTEMS OF LENOIR CITY, PC is a contractor in Lenoir City, TN. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). The assigned NPI number for this provider is 1598014482 and is registered as an organization entity type and is a multi-specialty group.

The provider's business address is:

780 HIGHWAY 321 NORTH STE 10
LENOIR CITY, TN
ZIP 37771
Phone: (865) 816-6301
Fax: (865) 816-6305

The provider's authorized official is Sylvia Hofstetter .
The authorized official title is Corporate Administrator and has the following contact phone number (865) 321-3437.

The enumeration date for this NPI number is 9/6/2012 and was last updated on 9/6/2012.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1700166584 URGENT CARE & SURGERY CENTER - LENOIR LLC
Contractor





Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 171W00000X Contractor 27951 TN Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1598014482 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name COMPREHENSIVE HEALTHCARE SYSTEMS OF LENOIR CITY, PC The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 780 HIGHWAY 321 NORTH STE 10 The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Business Practice Location Address City Name LENOIR CITY The city name in the location address of the provider being identified.
7 Provider Business Practice Location Address State Name TN The State code in the location of the provider being identified.
8 Provider Business Practice Location Address Postal Code 37771 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
9 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
10 Provider Business Practice Location Address Telephone Number 8658166301 The telephone number associated with the location address of the provider being identified.
11 Provider Business Practice Location Address Fax Number 8658166305 The fax number associated with the location address of the provider being identified.
12 Provider Enumeration Date 9/6/2012 The date the provider was assigned a unique identifier (assigned an NPI).
13 Last Update Date 9/6/2012 The date that a record was last updated or changed.
14 Authorized Official Last Name HOFSTETTER The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
15 Authorized Official First Name SYLVIA The first name of the authorized official.
16 Authorized Official Title or Position CORPORATE ADMINISTRATOR The title or position of the authorized official.
17 Authorized Official Telephone Number 8653213437 The 10-position telephone number of the authorized official.
18 Healthcare Provider Taxonomy Code 1 171W00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
19 Provider License Number 1 27951 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
20 Provider License Number State Code 1 TN The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Organization Subpart N
23 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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