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CONCORD RECOVERY CENTER NPI 1386282036


NPI Information

NPI: 1386282036
Provider Name: CONCORD RECOVERY CENTER

Doing Business As: CONCORD RECOVERY CENTER LLC

Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
601 S CONCORD ST STE 108
KNOXVILLE, TN
ZIP 37919
Phone: (865) 985-0371
Get Directions

CONCORD RECOVERY CENTER is an addiction medicine internal medicine in Knoxville, TN. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. CONCORD RECOVERY CENTER NPI is 1386282036. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Concord Recovery Center Llc.

The provider's business location address is:

601 S CONCORD ST STE 108
KNOXVILLE, TN
ZIP 37919-339
Phone: (865) 985-0371
Fax: (865) 985-0649

The provider's authorized official is Crissy L Shank .
The authorized official title is Billing and has the following contact phone number (931) 761-5732.

The enumeration date for this NPI number is 12/12/2019 and was last updated on 5/25/2021.


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
1207RA0401XInternal MedicineAddiction MedicineYes
2261Q00000XClinic/CenterNo
3261QM2500XClinic/CenterMedical SpecialtyNo

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: 11/14/2023

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