Organization Active NPI

Tracrw LLC

Doing business as Treatment Rooms of America CRW

  • Clinic/Center
  • Memphis, TN
National Provider Identifier
1396043691
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TRACRW LLC
Doing business as
Treatment Rooms of America CRW
Practice address
995 S Yates Rd
Suite 1
Memphis, TN 38119-0882
Phone
(901) 527-7100
NPI assigned
Mar 10, 2011
Last updated
Mar 10, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
CHARLES WALLACE JR MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Charles R Wallace, MD
Title
President
Phone
(901) 272-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

995 S Yates Rd
Suite 1
Memphis, TN 38119-0882

Mailing address

995 S Yates Rd
Suite 1
Memphis, TN 38119-0882
Phone (901) 527-7100

Other names 1

  • Treatment Rooms of America CRW Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tracrw LLC H2 organizations share this tax ID, including this one
Part of
Tracrw LLC H

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1396043691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 S YATES RD",
            "address_2": "SUITE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190882",
            "telephone_number": "901-527-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 S YATES RD",
            "address_2": "SUITE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190882",
            "telephone_number": "901-527-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACRW LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLES WALLACE JR MD",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-272-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Treatment Rooms of America CRW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.