STATE OF TENNESSEE


Address: 1401 Sparta St, Mc Minnville, TN 37110-1301
Phone: 9314738468

STATE OF TENNESSEE (NPI# 1437201837) 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) 1437201837
Entity Type Organization
Organization Name STATE OF TENNESSEE
Practice Address 1401 Sparta St
Mc Minnville
TN 37110-1301
Mailing Address 1100 England Drive
Cookeville
TN 38501-0924
Practice Telephone 9314738468
Practice Fax Number 9314730595
Mailing Telephone 9315204201
Mailing Fax Number 9315203871
Enumeration Date 2007-01-17
Last Update Date 2018-02-23
Authorized Official Name DR. DONALD W. GRISHAM (HEALTH OFFICER / MEDICAL DIRECTOR)
Authorized Official Telephone 9315204203
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251K00000X Public Health or Welfare ========= TN Agencies
Y 251K00000X Public Health or Welfare TN Agencies

Other Provider Identifier

State Issuer Identifier Type Code
TN 444-7872 05

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 1401 SPARTA ST
City MC MINNVILLE
State TN
Zip Code 37110-1301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013991959 Gerald Jerry Swee Dentist 1401 Sparta St, Mc Minnville, TN 37110-1301 2005-12-05
1134353071 William Jerald Jennings Dentist 1401 Sparta St, Mc Minnville, TN 37110-1301 2009-05-06
1356581219 Joel Arya Goldstein Dentist 1401 Sparta St, Mc Minnville, TN 37110-1301 2009-03-04
1528187374 Marjorie Williams Registered Nurse 1401 Sparta St, Mc Minnville, TN 37110-1301 2007-03-29
1699894584 Regina Ann Jennings Registered Nurse 1401 Sparta St, Mc Minnville, TN 37110-1301 2007-03-29
1700905742 Gail Ellen Webb Registered Nurse 1401 Sparta St, Mc Minnville, TN 37110-1301 2007-03-29
1558481267 Ginger Byars Registered Nurse 1401 Sparta St, Mc Minnville, TN 37110-1301 2007-03-29
1740307941 Sandra Stafford Registered Nurse 1401 Sparta St, Tenn Dept of Health, Mc Minnville, TN 37110-1301 2007-03-23
1841317021 Linda Patton Nurse's Aide 1401 Sparta St, Tenn Dept Fof Health, Mc Minnville, TN 37110-1301 2007-03-23
1023135381 Carol Benkarski Registered Nurse 1401 Sparta St, Tn Dept of Health, Mc Minnville, TN 37110-1301 2007-03-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184223984 Ramila, LLC Pharmacy 2652, Old Nashville Hwy, Mcminnville, TN 37110 2020-10-22
1598319055 Ashley Nicole Hobbs Registered Nurse 1401 Sparta Street, Mcminnville, TN 37110 2019-08-01
1033476734 Samantha Brooke Johnson Occupational Therapy Assistant 928 Old Smithville Road, Mcminnville, TENNESSEE 37110 2012-04-18
1245500800 Jennifer Ann Strunk Social Worker 306 N. Chancery Street, Mcminnville, TN 37110 2012-01-12
1477858322 Nancy M Walker Pharmacist 912 N Chancery Street, Mcminnville, TN 37110 2011-01-24
1811225568 Mcminnville Boarding Home for The Elderly Assisted Living Facility 345 Garfield St., Mcminnville, TN 37110 2009-11-18
1750571246 Jeremy Lee Sanders Pharmacist 1100 New Smithville Hwy Suite 114, Mcminnville, TN 37110 2007-07-31
1144383522 Britt Allan King Occupational Therapist 128 Old Smithville Hwy, Mcminnville, TN 37110 2006-12-18
1952478992 Jeanne Kay Ball Physical Therapy Assistant Nhc Mcminneville, 928 Old Smithville Rd, Mcminnville, TN 37110 2006-11-28
1760559702 Amy Cheryl Fox Occupational Therapy Assistant Nhc Mcminnville 928 Old Smithville Rd, Mcminnville, TN 37110 2006-11-28
Find all providers in zip 37110

Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265054068 Serious Healthcare Corporation Public Health or Welfare 100 Cherokee Blvd Ste 2010, Chattanooga, TN 37405-3864 2020-05-14
1477017150 Christopher Todd Crouse Public Health or Welfare 963 Promenade Dr, Adams, TN 37010-1400 2019-01-26
1184195612 Management Solutions LLC Public Health or Welfare 2202 Award Winning Way Ste 201, Knoxville, TN 37932-1992 2018-12-10
1144739764 Roots Healthcare and Homes, LLC Public Health or Welfare 1150 Saunders Ave, Memphis, TN 38127-5229 2017-09-26
1285155150 Helping Hands of Middle & West Tennessee Public Health or Welfare 1408 N Highland Ave Ste 100, Jackson, TN 38301-3450 2017-06-30
1881068757 Alcoa Fire Department Public Health or Welfare 2010 N Wright Rd, Alcoa, TN 37701-3804 2015-11-16
1124494059 Tennessee Department of Children's Services Public Health or Welfare 436 6th Ave N, Nashville, TN 37243-9004 2015-08-14
1477975654 Mull Foundation Public Health or Welfare 6796 Blue Lake Ln, Memphis, TN 38141-0582 2014-01-07
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
Find all providers with the same taxonomy

Competitor

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City MC MINNVILLE
Zip Code 37110

Improve Information

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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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