Coffee County Drug Court

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

I00000001631 Issued in TN

Legal business name

COFFEE COUNTY DRUG COURT

Practice address

604 College St
Manchester, TN 37355-1769

Phone

(931) 723-3051

Fax

(931) 723-3632

NPI assigned

Feb 21, 2014

Organization subpart

No

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

Authorized official

Name

Mike LewisNPI 1053740662

Title

Executive Director

Phone

(931) 581-3602

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mike Lewis

  • Community/Behavioral Health Agency
  • Manchester, TN
  • NPI 1053740662
  NPD (past) Authorized official

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1881019255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 COLLEGE ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373551769",
            "telephone_number": "931-723-3051",
            "fax_number": "931-723-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 COLLEGE ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373551769",
            "telephone_number": "931-723-3051",
            "fax_number": "931-723-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFEE COUNTY DRUG COURT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "931-581-3602"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "I00000001631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Edward Christopher Jr., M.D.
• Rachel Bailey Clay, PA-C
• CLC of Manchester, LLC (Manchester Community Living Center)
• Coffee Associates a Medical Management Organization, LLC (Rapha Centre)
• Coffee County Board of Education (Coffee County Schools)
• Coffee County Hospital Group Inc (Medical Center of Manchester)
• Coffee County Hospital Group, Inc
• Coffee County Physician Group PC
• Coffee Medical Group LLC (Unity Medical Center)
• Coffee Medical Group LLC (Manchester Rural Health Clinic)

• Community/Behavioral Health Agency in Manchester, TN
• Providers in Manchester, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.