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BLUEBIRD RECOVERY LLC NPI 1730892837


NPI Information

NPI: 1730892837
Provider Name: BLUEBIRD RECOVERY LLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
127 LEDFORD MILL RD STE B
TULLAHOMA, TN
ZIP 37388
Phone: (931) 841-3311
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BLUEBIRD RECOVERY LLC is an addiction medicine family medicine in Tullahoma, TN. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. BLUEBIRD RECOVERY LLC NPI is 1730892837. The provider is registered as an organization entity type.

The provider's business location address is:

127 LEDFORD MILL RD STE B
TULLAHOMA, TN
ZIP 37388-278
Phone: (931) 841-3311
Fax: (931) 841-3314

The provider's authorized official is Chasity J Tankersley .
The authorized official title is Office Manager and has the following contact phone number (931) 841-3311.

The enumeration date for this NPI number is 1/4/2023 and was last updated on 9/28/2023.


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
1324500000XSubstance Abuse Rehabilitation FacilityNo
2207QA0401XFamily MedicineAddiction MedicineYes

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: 5/5/2024

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