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State Of Tennessee

State Of Tennessee is a health care provider in Alamo, TN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 209 N Bells Street, Alamo, TN 38001, US
Practice Location Phone731-696-2505
Practice Location Fax731-696-4370
Legal Business NameSTATE OF TENNESSEE
Other Organization NameCROCKETT COUNTY HEALTH DEPARTMENT
Other Organization Name TypeAn Other Name
NPI ?1134264450
Entity TypeOrganization
Enumeration Date ? Feb 21, 2007
Last Update Date ? Sep 1, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of State Of Tennessee

SpecialtySpecializationLicenseLicense State
Public Health or Welfare

legacy-id-icon Legacy Provider IDs of State Of Tennessee

Provider IdIssuer StateIssuer TypeIssuer
4448026TennesseeMedicaid
3911105TennesseeMedicare Id-type Unspecified

official-icon Authorized Official of State Of Tennessee

An authorized official is an appointed official with the legal authority to make changes and/or updates to the State Of Tennessee's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mrs. Marilyn Barnes
Authorized Official Title/PositionREGIONAL DIRECTOR
Authorized Official Phone Number731-421-6700