Active NPI
Tracrw LLC
Doing business as Treatment Rooms of America CRW
- Clinic/Center
- Memphis, TN
National Provider Identifier
1396043691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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, 2011
- Organization subpart
- Yes
- Parent organization
- CHARLES WALLACE JR MD
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Tracrw LLC H
- 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.