STATE OF TENNESSEE


Address: 162 Sharp Perkins Road, Jacksboro, TN 37757
Phone: 4235628351

STATE OF TENNESSEE (NPI# 1962540880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962540880
Entity Type Organization
Organization Name STATE OF TENNESSEE
Other Organization Name CAMPBELL COUNTY HEALTH DEPARTMENT
Practice Address 162 Sharp Perkins Road
Jacksboro
TN 37757
Mailing Address Po Box 59019
Knoxville
TN 37950-9019
Practice Telephone 4235628351
Practice Fax Number 4235621593
Mailing Telephone 4235628351
Mailing Fax Number 4235621593
Enumeration Date 2007-02-02
Last Update Date 2010-08-23
Authorized Official Name MARIANNE F SHARP (REGIONAL ACCOUNTANT)
Authorized Official Telephone 8655495266
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251K00000X Public Health or Welfare Agencies

Other Provider Identifier

State Issuer Identifier Type Code
TN BLUECROSS BLUESHIELD TN 154308 01
TN 4447836 05

Other Provider/Organization Names

Other Name Type Code
Campbell County Health Department Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 162 SHARP PERKINS ROAD
City JACKSBORO
State TN
Zip Code 37757

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780722975 Wanda F Tackett Registered Nurse 162 Sharp Perkins Road, Jacksboro, TN 37757-0418 2007-02-01
1629412986 Shannon Paige Overton Registered Nurse 162 Sharp Perkins Road, Jacksboro, TN 37757-0418 2013-04-17
1902948912 Michele O Lynch Registered Nurse 162 Sharp Perkins Road, Jacksboro, TN 37757-0418 2007-02-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861809642 Samantha Ross Physical Therapy Assistant 272 Gardner Lane, Jacksboro, TN 37757 2014-07-14
1225348493 Summit Medical Group, Pllc Internal Medicine 163 Perkins Lane, Jacksboro, TN 37757 2010-10-20
1518112911 Pediatric Professionals Specialist 136 Mountain Perkins Lane, Suite 2, Jacksboro, TN 37757 2008-11-26
1992804827 Riggs Drug Store Pharmacy 2636 Jacksboro Pike, Jacksboro, TN 37757 2006-09-21
1629536362 Jacksboro Urgent Care Clinic/Center 2707 Jacksboro Pike, Suite 2, Jacksboro, TN 37757 2019-03-12
1942598305 Thomas Wayne Robbins Family Medicine 2545 Jacksboro Pike, Jacksboro, TN 37757 2011-07-19
1841514155 Margaret Reid Young Nurse Practitioner 136 Mountain Perkins Lane, Suite 2, Jacksboro, TN 37757 2010-03-16
1083868517 Med-trans Corporation Ambulance 588 Memorial Lane, Jacksboro, TN 37757-0000 2008-11-11
1053458430 Vida Lou Rains Registered Nurse 162 Sharp-perkins Road, Jacksboro, TN 37757-0418 2007-02-01
1548307473 Kathy Lynne Nelson Registered Nurse 162 Sharp Perkins Rd., Jacksboro, TN 37757-0418 2007-01-31
Find all providers in zip 37757

Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265054068 Serious Healthcare Corporation Public Health or Welfare 100 Cherokee Blvd Ste 2010, Chattanooga, TN 37405-3864 2020-05-14
1477017150 Christopher Todd Crouse Public Health or Welfare 963 Promenade Dr, Adams, TN 37010-1400 2019-01-26
1184195612 Management Solutions LLC Public Health or Welfare 2202 Award Winning Way Ste 201, Knoxville, TN 37932-1992 2018-12-10
1144739764 Roots Healthcare and Homes, LLC Public Health or Welfare 1150 Saunders Ave, Memphis, TN 38127-5229 2017-09-26
1285155150 Helping Hands of Middle & West Tennessee Public Health or Welfare 1408 N Highland Ave Ste 100, Jackson, TN 38301-3450 2017-06-30
1881068757 Alcoa Fire Department Public Health or Welfare 2010 N Wright Rd, Alcoa, TN 37701-3804 2015-11-16
1124494059 Tennessee Department of Children's Services Public Health or Welfare 436 6th Ave N, Nashville, TN 37243-9004 2015-08-14
1477975654 Mull Foundation Public Health or Welfare 6796 Blue Lake Ln, Memphis, TN 38141-0582 2014-01-07
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
Find all providers with the same taxonomy

Competitor

Search similar providers

City JACKSBORO
Zip Code 37757

Improve Information

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Dataset Information

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.

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