Focus on Fuction, Inc.
Organization Active NPI Health Service Clinic/Center · East Ridge, TN
NPI 1508081373 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1508081373
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- License
- PSS0000000026 (TN)
- Legal business name
- FOCUS ON FUCTION, INC.
- Practice address
- 4159 Ringgold Rd Ste 106
East Ridge, TN 37412-2442 - Phone
- (423) 622-6615
- Fax
- (423) 622-6614
- NPI assigned
- Apr 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Susan Mary Michaud, OTRL
- Title
- Administrator
- Phone
- (423) 622-6615
National Provider Directory
Locations
4159 Ringgold Rd
Ste 106
East Ridge, TN 37412
Phone (423) 622-6615
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | PSS0000000026 | TN | Yes |
Addresses
Primary practice location
4159 Ringgold Rd Ste 106
East Ridge, TN 37412-2442
Mailing address
4159 Ringgold Rd Ste 106
East Ridge, TN 37412-2442
Phone (423) 622-6615
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4070765 | Other | TN | BLUECARE |
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All providers in East Ridge, TN · Health Service Clinic/Center 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 22, 2020. 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.