United Regional Medical Center Nursing Home
Organization Active NPI Skilled Nursing Facility · Manchester, TN
NPI 1124227707 · NPPES record last updated Jul 13, 2007
Key facts
- NPI
- 1124227707
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0000000033 (TN)
- Legal business name
- UNITED REGIONAL MEDICAL CENTER NURSING HOME
- Practice address
- 1001 McArthur St
Manchester, TN 37355-2419 - Phone
- (931) 461-3425
- Fax
- (931) 723-0781
- NPI assigned
- Jul 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Brenda Vaughn
- Title
- Business Office Manager
- Phone
- (931) 461-3425
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Coffee Medical Group LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0000000033 | TN | Yes |
Addresses
Primary practice location
1001 McArthur St
Manchester, TN 37355-2419
Mailing address
1001 McArthur St
Manchester, TN 37355-2419
Phone (931) 461-3425
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0445383 | Medicaid | TN |
Other providers in Manchester, TN
- Leslie Henley Trussler
- Jonathan Christopher Tucker
- Donna E Tudor
- Christopher William Turner
- Ujjagar PLLC
- United Regional Surgical Group, LLC
- Unity Multi-Specialty Group
- Emilyann Van Zandbergen
- Taylor Sueanne Vandiver
- Vanguard of Manchester, LLC
All providers in Manchester, TN · Skilled Nursing Facility in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.