STATE OF TENNESSEE NPI 1467538009

NPI Information

NPI: 1467538009
Provider Name: STATE OF TENNESSEE

Doing Business As: LAKESHORE MENTAL HEALTH INSTITUTE

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
5908 LYONS VIEW PIKE
KNOXVILLE, TN
ZIP 37919
Phone: (865) 584-1561
Get Directions

STATE OF TENNESSEE is a psychiatric hospital in Knoxville, TN. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. STATE OF TENNESSEE NPI is 1467538009. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeshore Mental Health Institute.

The provider's business location address is:

5908 LYONS VIEW PIKE
KNOXVILLE, TN
ZIP 37919
Phone: (865) 584-1561
Fax: (865) 450-5203

The provider's authorized official is Richard L Thomas .
The authorized official title is Chief Executive Officer - Ceo and has the following contact phone number (865) 583-8888.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 3/20/2012.

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	283Q00000X	Psychiatric Hospital		L2161051102	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	3282144	OTHER	TENNESSEE	CIGNA MEDICARE PART B
2	103G709065	MEDICARE PIN
3	0444000	MEDICAID	TENNESSEE
4	444000	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
5	0010800	OTHER	TENNESSEE	BCBS

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

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