NPIMap

Organization Active NPI

Tracrw LLC H

Doing business as Treatment Rooms of America CRWh

  • Clinic/Center
  • Memphis, TN
National Provider Identifier
1548550320
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TRACRW LLC H
Doing business as
Treatment Rooms of America CRWh
Practice address
1325 Eastmoreland Ave
Memphis, TN 38104-3519
Phone
(901) 272-3200
NPI assigned
Apr 13, 2011
Organization subpart
Yes
Parent organization
CHARLES R WALLACE MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 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 Primary

Addresses

Primary practice location

1325 Eastmoreland Ave
Memphis, TN 38104-3519

Mailing address

1325 Eastmoreland Ave
Memphis, TN 38104-3519
Phone (901) 272-3200

Other names 1

  • Treatment Rooms of America CRWh 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": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1548550320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 EASTMORELAND AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043519",
            "telephone_number": "901-272-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 EASTMORELAND AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043519",
            "telephone_number": "901-272-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACRW LLC H",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLES R WALLACE MD",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Treatment Rooms of America CRWh",
            "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 Apr 13, 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.