STATE OF TENNESSEE


Address: 814 Jefferson Ave, Memphis, TN 38105-5041
Phone: 9015447597

STATE OF TENNESSEE (NPI# 1083853105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083853105
Entity Type Organization
Organization Name STATE OF TENNESSEE
Other Organization Name MEMPHIS AND SHELBY COUNTY HEALTH
Practice Address 814 Jefferson Ave
Memphis
TN 38105-5041
Practice Telephone 9015447597
Practice Fax Number 9015447602
Mailing Telephone 9015447597
Mailing Fax Number 9015447602
Enumeration Date 2009-02-12
Last Update Date 2019-09-26
Authorized Official Name MS. KIMBERLI FITZPATRICK (BILLING AND OPERATIONS MANAGER)
Authorized Official Telephone 4233072330
Authorized Official Credential BA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 0000002280 TN Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
TN CLIA 44D0663079 01

Other Provider/Organization Names

Other Name Type Code
MEMPHIS AND SHELBY COUNTY HEALTH Doing Business As Name - Organization
Memphis and Shelby County Health Dept Laboratory Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417337056 State of Tennessee Physical Therapist 400 Deaderick St, Citizens Plaza, 9th Floor, Nashville, TN 37243-0001 2015-06-08
1023412020 State of Tennessee Intermediate Care Facility, Mentally Retarded 2324 Asheville Highway, Greeneville, TN 37743 2014-10-20
1871997163 State of Tennessee Intermediate Care Facility, Mentally Retarded 803 Redbud Dr, Greeneville, TN 37743-6141 2014-10-15
1437552536 State of Tennessee Intermediate Care Facility, Mentally Retarded 645 Rambo Road, Greeneville, TN 37743 2014-10-02
1114330545 State of Tennessee Occupational Therapist 301 Stewarts Ferry Pike, Didd Middle Tn Seating and Positioning Clinic, Nashville, TN 37214-3340 2014-06-03
1356770531 State of Tennessee Public Health or Welfare 1660 Silverado Ct, Sevierville, TN 37876-4426 2013-11-07
1699104885 State of Tennessee Public Health or Welfare 485 Sulphur Hollow Rd, Tazewell, TN 37879-5170 2013-11-07
1780958454 State of Tennessee Intermediate Care Facility, Mentally Retarded 2497 Buckingham Rd., Greeneville, TN 37743 2012-02-28
1629342415 State of Tennessee Intermediate Care Facility, Mentally Retarded 102 Dyer St., Greeneville, TN 37743 2012-02-27
1639443419 State of Tennessee Intermediate Care Facility, Mentally Retarded 2499 Buckingham Rd., Greeneville, TN 37745 2012-02-27

Office Location

Street Address 814 JEFFERSON AVE
City MEMPHIS
State TN
Zip Code 38105-5041

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255320248 Anne Hill Dentist 814 Jefferson Ave, Memphis, TN 38105-5041 2005-10-21
1316579816 Sheila Maclin Nurse Practitioner 814 Jefferson Ave, Memphis, TN 38105-5041 2020-02-12
1881180206 Chudney Akissi Williams Nurse Practitioner 814 Jefferson Ave, Memphis, TN 38105-5041 2018-07-09
1255565305 Kenneth Stanley Robinson Preventive Medicine 814 Jefferson Ave, Memphis, TN 38105-5041 2009-05-05
1285845750 Memphis and Shelby County Health Department Pharmacy 814 Jefferson Ave, Memphis, TN 38105-5041 2007-05-25
1154537876 Memphis and Shelby County Health Dept Pharmacy Pharmacist 814 Jefferson Ave, Memphis, TN 38105-5041 2007-05-16
1285857599 Joanne Brown Registered Nurse 814 Jefferson Ave, Memphis, TN 38105-5041 2007-04-11
1235352543 Leslie R Gordon Dentist 814 Jefferson Ave, Memphis, TN 38105-5041 2007-04-11
1518099936 Darlene B Olive Registered Nurse 814 Jefferson Ave, Memphis, TN 38105-5041 2007-03-12
1508998907 Sharon H Wright Registered Nurse 814 Jefferson Ave, Memphis, TN 38105-5041 2007-03-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447887435 Leeanne Chittom Mcdonald Dietitian, Registered Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 2020-03-27
1619508942 Victoria Mackay Physician Assistant 595 Danny Thomas Place, Memphis, TN 38105 2020-01-27
1720436710 Angela Marie Pratt Nurse Practitioner 262 Danny Thomas Blvd, Memphis, TN 38105 2016-05-31
1326434465 Amanda Green Pediatrics 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 2015-04-15
1467864173 Nicole Mary Alberts Psychologist 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 2014-05-29
1689004160 Virginia Carney Dietitian, Registered 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 2013-11-19
1447506365 Nickhill Hitesh Bhakta Pediatrics 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 2012-07-29
1457622235 Healthy Indigent Populations Inc. Exclusive Provider Organization 1066 Delmar, Memphis, TN 38105 2012-01-25
1285953265 Nicholas Steve Phillips Student in an Organized Health Care Education/Training Program 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 2010-05-31
1205151776 Kyle Joseph Morgan Anesthesiology 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 2010-03-28
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366065005 Neovect Technologies, LLC Clinical Medical Laboratory 287 Wilkinson Pl, Memphis, TN 38111-6125 2020-05-27
1164910758 Urban Alpha Clinical Medical Laboratory 6286 Quince Rd, Memphis, TN 38119-7629 2018-04-29
1205355377 Cquentia Ngs, LLC Clinical Medical Laboratory 3742 Tyndale Dr, Memphis, TN 38125-8500 2017-09-11
1124442306 Total Diagnostix II, LLC Clinical Medical Laboratory 3740 Business Dr Ste 101, Memphis, TN 38125-3971 2014-02-10
1114286523 Quest Diagnostics Tb LLC Clinical Medical Laboratory 5846 Distribution Dr, Memphis, TN 38141-8203 2012-05-07
1124202668 Priority Sleep Diagnostic Center LLC Clinical Medical Laboratory 3650 Southwind Park Cove, Suite 104, Memphis, TN 38125 2007-12-19
1144429929 Concentra Laboratory LLC Clinical Medical Laboratory 3560 Air Center Cv, Suite 101, Memphis, TN 38118-3626 2007-07-12
1548479801 Mosaic Prime Clinical Medical Laboratory 20 Dudley St, Suite 250, Memphis, TN 38103-4904 2007-05-22
1770622177 Silicone Ocular Clinical Medical Laboratory 6 W Ge Patterson Ave, Suite 101, Memphis, TN 38103-6413 2007-02-05
1669518221 Memphis Clinical Laboratory Inc Clinical Medical Laboratory 4088 Barton Dr, Memphis, TN 38116-5821 2007-01-30
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Competitor

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City MEMPHIS
Zip Code 38105

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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