State of Tennessee
Organization Active NPI Public Health or Welfare Agency · Dresden, TN
NPI 1164572327 · NPPES record last updated Aug 25, 2010
Key facts
- NPI
- 1164572327
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- STATE OF TENNESSEE
- Practice address
- 9852 Hwy 22
Dresden, TN 38225 - Phone
- (731) 364-2258
- Fax
- (731) 364-5846
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Marilyn Barnes
- Title
- Regional Director
- Phone
- (731) 421-6700
Corporate family (same tax ID) 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041013001259 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 5698687077 | This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Trousdale County Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
9852 Hwy 22
Dresden, TN 38225
Mailing address
9852 Hwy 22
Dresden, TN 38225
Phone (731) 364-2258
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4448037 | Medicaid | TN |
Other names
- Weakley County Health Department
Other providers in Dresden, TN
- Douglas Keith Roach
- Tracie D. Rogers
- Sandra L. Smith
- Kenneth Wayne Springer
- Lindsey Springer
- Samuel Sulcer
- Support Services LLC
- Jennifer Lee Taylor
- Phyllis Ann Taylor
- Sandra Taylor
All providers in Dresden, TN · Public Health or Welfare Agency in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.