STATE OF TENNESSEE NPI 1194878629

NPI Information

NPI: 1194878629
Provider Name: STATE OF TENNESSEE

Doing Business As: MONTGOMERY COUNTY HEALTH DEPARTMENT

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
330 PAGEANT LN
CLARKSVILLE, TN
ZIP 37040
Phone: (931) 648-5747
Get Directions

STATE OF TENNESSEE is a public health or welfare in Clarksville, TN. STATE OF TENNESSEE NPI is 1194878629. The provider is registered as an organization entity type.
The provider Is Doing Business As Montgomery County Health Department.

The provider's business location address is:

330 PAGEANT LN
CLARKSVILLE, TN
ZIP 37040-854
Phone: (931) 648-5747
Fax: (931) 645-9019

The provider's authorized official is Annette Haley .
The authorized official title is Regional Director and has the following contact phone number (615) 650-7000.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 8/28/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare			TENNESSEE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4447972	MEDICAID	TENNESSEE
2	3910151	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	MEDICARE PROVIDER NUMBER

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »