STATE OF TENNESSEE (NPI# 1558395715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558395715 |
| Entity Type | Organization |
| Organization Name | STATE OF TENNESSEE |
| Other Organization Name | COFFEE COUNTY HEALTH DEPARTMENT |
| Practice Address |
800 Parks St Manchester TN 37355-2482 |
| Practice Telephone | 9317235134 |
| Practice Fax Number | 9317235148 |
| Mailing Telephone | 9317235134 |
| Mailing Fax Number | 9317235148 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-09-25 |
| Authorized Official Name | BARBARA J WHITWELL (OFFICE SUPERVISOR) |
| Authorized Official Telephone | 9314908334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BC/BS & TENNCARE SELECT | 0153315 | 01 |
| TN | 4448009 | 05 |
| Other Name | Type Code |
|---|---|
| Coffee County Health Department | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417337056 | State of Tennessee | Physical Therapist | 400 Deaderick St, Citizens Plaza, 9th Floor, Nashville, TN 37243-0001 | 2015-06-08 |
| 1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
| 1871997163 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 803 Redbud Dr, Greeneville, TN 37743-6141 | 2014-10-15 |
| 1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
| 1114330545 | State of Tennessee | Occupational Therapist | 301 Stewarts Ferry Pike, Didd Middle Tn Seating and Positioning Clinic, Nashville, TN 37214-3340 | 2014-06-03 |
| 1356770531 | State of Tennessee | Public Health or Welfare | 1660 Silverado Ct, Sevierville, TN 37876-4426 | 2013-11-07 |
| 1699104885 | State of Tennessee | Public Health or Welfare | 485 Sulphur Hollow Rd, Tazewell, TN 37879-5170 | 2013-11-07 |
| 1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
| 1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
| 1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
| Street Address |
800 PARKS ST |
| City | MANCHESTER |
| State | TN |
| Zip Code | 37355-2482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467016782 | Kristi Phillips Bender | Registered Nurse | 800 Parks St, Manchester, TN 37355-2482 | 2019-04-23 |
| 1801241187 | Judith Anderson Patterson | Registered Nurse | 800 Parks St, Manchester, TN 37355-2482 | 2016-04-25 |
| 1558771311 | Regina Hale | Registered Nurse | 800 Parks St, Manchester, TN 37355-2482 | 2014-05-02 |
| 1225329279 | Shannon J Titus | Registered Nurse | 800 Parks St, Manchester, TN 37355-2482 | 2011-04-26 |
| 1417101049 | Linda Elaine Kennedy | Registered Nurse | 800 Parks St, Manchester, TN 37355-2482 | 2008-11-10 |
| 1255461976 | Darla Beth Sain | Registered Nurse | 800 Parks St, Manchester, TN 37355-2482 | 2007-03-06 |
| 1508995663 | Rebecca Susan Minger | Registered Nurse | 800 Parks St, Manchester, TN 37355-2482 | 2007-03-05 |
| 1619006780 | Tina Marie Bond | Registered Nurse | 800 Parks St, Manchester, TN 37355-2482 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659857126 | Ashley Harmon Layne | Speech-Language Pathologist | 205 S Woodland St, Manchester, TN 37355 | 2018-07-17 |
| 1760996771 | Quad/med, LLC | Clinic/Center | 227 Monogard Rd, Manchester, TN 37355 | 2017-11-29 |
| 1881108157 | Sarabeth Seagreaves | Specialist/Technologist | 1700 Summer St Apt A36, Manchester, TN 37355 | 2017-11-25 |
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1316361561 | Charlotte Gibbs | Counselor | 482 Interstate Dr Ste D, Manchester, TN 37355 | 2014-02-08 |
| 1205258191 | Aleene Marie Falk | Social Worker | 218 Forrestwood Drive, Manchester, TN 37355 | 2014-01-10 |
| 1790067429 | Reda Lynn Lawson | Registered Nurse | 800 Parks Street, Manchester, TN 37355 | 2011-09-20 |
| 1912294117 | Patricia Beth Elliott | Nurse Practitioner | 804 Keylon Street, Manchester, TN 37355 | 2011-07-08 |
| 1427241421 | Kimberly D. Mathis | Nurse Practitioner | 1600 Mcarthur Street, Manchester, TN 37355 | 2007-08-22 |
| 1982761441 | Richard Eugene Fishbein | Orthopaedic Surgery | 102 East High Street, Manchester, TN 37355 | 2007-01-03 |
| Find all providers in zip 37355 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093977605 | Cumberland Valley Dist Hlth Dept | Public Health or Welfare | 84 Hooker Rd, Manchester, KY 40962-8202 | 2008-06-26 |
| 1538321146 | Cumberland Valley Dist Hlth Dept | Public Health or Welfare | 364 Highway 1524, Manchester, KY 40962-8936 | 2008-06-26 |
| 1144482670 | Cumberland Valley Dist Hlth Dept | Public Health or Welfare | 1908 N Highway 421, Manchester, KY 40962-7337 | 2008-06-26 |
| 1528220134 | Cumberland Valley Dist Hlth Dept | Public Health or Welfare | 415 Clay County High Rd, Manchester, KY 40962-7010 | 2008-06-26 |
| 1174783468 | Manchester Health Dept | Public Health or Welfare | 1528 Elm Street, Manchester, NH 03101 | 2008-06-11 |
| 1902074420 | Cumberland Valley Dist Health Dept | Public Health or Welfare | 239 Richmond Rd, Manchester, KY 40962-1208 | 2008-02-19 |
| 1598944043 | Cumberland Valley Dist. Health Dept | Public Health or Welfare | 1983 Hwy 421, Manchester, KY 40962 | 2007-11-01 |
| 1578757480 | Cumberland Valley Dist. Health Dept. | Public Health or Welfare | 9847 N Highway 421, Manchester, KY 40962-6647 | 2007-09-04 |
| 1396705935 | Manchester Health Center | Public Health or Welfare | 300 W Perry St, Manchester, GA 31816-1346 | 2006-03-27 |
| 1356726475 | Delaware County Memorial Hospital | Public Health or Welfare | 613 W Main St, Manchester, IA 52057-1527 | 2015-07-30 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 37355 |
Please comment or provide details below to improve the information on STATE OF TENNESSEE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.