STATE OF TENNESSEE
Medical Equipment Supplier Yellow Pages
Columbia, Tennessee
Provider NPI: 1881707537
Organization Information:Organization Name: STATE OF TENNESSEE
Practice Location:
1216 TROTWOOD AVE COLUMBIA, TN 38401 US
Tel: 931-490-8366 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:
1216 TROTWOOD AVE COLUMBIA, TN 38401 US
Tel: 931-490-8366 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0002X | Suppliers Pharmacy Clinic Pharmacy | TN | 0000002135 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP | 4440640 | TN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin