STATE OF TENNESSEE STATE F & A PAYROLL
Medical Equipment Supplier Yellow Pages
Chattanooga, Tennessee
Provider NPI: 1104869486
Organization Information:Organization Name: STATE OF TENNESSEE STATE F & A PAYROLL
Practice Location:
100 MOCCASIN BEND RD CHATTANOOGA, TN 37405 US
Tel: 423-785-3321 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
100 MOCCASIN BEND RD CHATTANOOGA, TN 37405 US
Tel: 423-785-3321 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336I0012X | Suppliers Pharmacy Institutional Pharmacy | ||
Y | 3336L0003X | Suppliers Pharmacy | TN | L2(16)M21051098 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2088533 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin