Provider Type Icon

COFFEE MEDICAL GROUP LLC NPI 1013969179


NPI Information

NPI: 1013969179
Provider Name: COFFEE MEDICAL GROUP LLC

Doing Business As: UNITY MEDICAL CENTER

Classification: General Acute Care Hospital - 282NR1301X
Entity Type: Organization

Specialization: Rural

Address:
481 INTERSTATE DR
MANCHESTER, TN
ZIP 37355
Phone: (931) 728-3586
Get Directions

COFFEE MEDICAL GROUP LLC is a rural general acute care hospital in Manchester, TN. COFFEE MEDICAL GROUP LLC NPI is 1013969179. The provider is registered as an organization entity type.
The provider Is Doing Business As Unity Medical Center.

The provider's business location address is:

481 INTERSTATE DR
MANCHESTER, TN
ZIP 37355-108
Phone: (931) 728-3586

The provider's authorized official is Martha E Mccormick .
The authorized official title is Ceo and has the following contact phone number (931) 728-6354.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 4/13/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282NR1301XGeneral Acute Care HospitalRural0000000017TENNESSEEYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10440007MEDICAIDTENNESSEE
24039933OTHERBCBS
34039933OTHERBLUE CARE TENN CARE SEL
44039933OTHERBCBST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.