STATE OF TENNESSEE NPI 1912928664

NPI Information

NPI: 1912928664
Provider Name: STATE OF TENNESSEE
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Doing Business As: METRO MOORE HEALTH FACILITY
Address: 251 MAJORS BLVD
LYNCHBURG, TN
ZIP 37352
Phone: (931) 759-4251

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NPI Details

STATE OF TENNESSEE is a public health or welfare in Lynchburg, TN. STATE OF TENNESSEE NPI is 1912928664. The provider is registered as an organization entity type.
The provider Is Doing Business As Metro Moore Health Facility.

The provider's business location address is:

251 MAJORS BLVD
LYNCHBURG, TN
ZIP 37352-352
Phone: (931) 759-4251
Fax: (931) 759-6380

The provider's authorized official is Barbara J Whitwell .
The authorized official title is Office Supervisor and has the following contact phone number (931) 490-8334.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 7/21/2006 and was last updated on 9/25/2012.

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				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	103G609681	MEDICARE PIN	TENNESSEE
2	4448000	MEDICAID	TENNESSEE
3	0119549	OTHER	TENNESSEE	BC/BS & TENNCARE SELECT
4	3065987	OTHER	TENNESSEE	TENNCARE SELECT PCP
5	3910656	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
6	443819	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	RURAL HEALTH CLINIC (RHC)

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: 11/21/2025

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