4M Healthsystem Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

LDC0000000580 Issued in TN

Legal business name

4M HEALTHSYSTEM INC

Practice address

827 Virtue Rd
Knoxville, TN 37934-5344

Phone

(865) 201-2705

Fax

(865) 201-2705

NPI assigned

Dec 5, 2017

Last updated

Dec 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Robert Stubblefield Jr.

Title

Coo

Phone

(931) 979-5158

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1801301452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 W HUNT RD",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377011724",
            "telephone_number": "931-979-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 VIRTUE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379345344",
            "telephone_number": "865-201-2705",
            "fax_number": "865-201-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4M HEALTHSYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "STUBBLEFIELD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "931-979-5158",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TN",
            "license": "LDC0000000580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Substance Abuse Rehabilitation Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.