STATE OF TENNESSEE (NPI# 1912928664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912928664 |
| Entity Type | Organization |
| Organization Name | STATE OF TENNESSEE |
| Other Organization Name | METRO MOORE HEALTH FACILITY |
| Practice Address |
251 Majors Blvd Lynchburg TN 37352-8352 |
| Practice Telephone | 9317594251 |
| Practice Fax Number | 9317596380 |
| Mailing Telephone | 9317594251 |
| Mailing Fax Number | 9317596380 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2012-09-25 |
| Authorized Official Name | BARBARA J WHITWELL (OFFICE SUPERVISOR) |
| Authorized Official Telephone | 9314908334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 4448000 | 05 | |
| TN | TENNCARE SELECT PCP | 3065987 | 01 |
| TN | BC/BS & TENNCARE SELECT | 0119549 | 01 |
| Other Name | Type Code |
|---|---|
| Metro Moore Health Facility | Doing Business As Name - Organization |
| 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 |
| Street Address |
251 MAJORS BLVD |
| City | LYNCHBURG |
| State | TN |
| Zip Code | 37352-8352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053455758 | Robert W Gray | Durable Medical Equipment & Medical Supplies | 47 Mechanic St, Eastside Public Square, Lynchburg, TN 37352 | 2007-02-16 |
| 1134402167 | Cynthia Lynn Shelton | Nurse's Aide | 151 Majors Blvd, Moore, TN 37352 | 2011-09-26 |
| 1649597915 | Sara Elizabeth Bates | Registered Nurse | 151 Majors Blvd, Room 1, Lynchburg, TN 37352-0196 | 2010-04-27 |
| 1306209218 | Highlands Consulting LLC | Dentist | 488 Hurricane Creek Rd, Lynchburg, TN 37352-5607 | 2016-03-30 |
| 1245530708 | Penelope A. Smith | Counselor | 10466 Chestnut Ridge Rd, Lynchburg, TN 37352-5629 | 2010-10-29 |
| 1831583475 | Robert Price | Physical Therapist | 398 Coopers Creek Ln, Lynchburg, TN 37352-5677 | 2015-03-21 |
| 1265621270 | Judy Carol Merritt | Dietitian, Registered | 326 Shasteen Hollow Rd, Lynchburg, TN 37352-5954 | 2007-10-16 |
| 1356892483 | Dalton Barrier | Student in an Organized Health Care Education/Training Program | 350 Lake Forrest Rd, Lynchburg, TN 37352-5991 | 2016-10-24 |
| 1013254655 | Univita of Tennessee, Inc. | Durable Medical Equipment & Medical Supplies | 783 Fayetteville Hwy, Lynchburg, TN 37352-7008 | 2013-01-15 |
| 1336573740 | Cathleen Marie Vaughan | Social Worker | 185 Crest Dr, Lynchburg, TN 37352-7068 | 2013-08-22 |
| Find all providers in zip 37352 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790745321 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 1900 Thomson Dr, Lynchburg, VA 24501-1009 | 2006-03-27 |
| 1710040191 | Lynchburg Health Dept. Dental Office | Public Health or Welfare | 1900 Thomson Dr, Lynchburg, VA 24501-1009 | 2006-12-18 |
| 1477636728 | Commonwealth of Virginia State Department of Health | Public Health or Welfare | 1900 Thomson Dr, Child Development Clinic, Lynchburg, VA 24501-1009 | 2006-10-23 |
| 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 | ||||
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| 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.