# COFFEE MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Unity Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013969179
- **Authorized official:** MS. MARTHA E MCCORMICK (CEO)
- **Authorized official phone:** (931) 728-6354

## Contact information

- **Practice address:** 481 INTERSTATE DR, MANCHESTER, TN 37355-3108
- **Practice address phone:** (931) 728-3586
- **Mailing address:** 481 INTERSTATE DR, MANCHESTER, TN 37355-3108
- **Mailing address phone:** (931) 728-6354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 0000000017 | TN | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 04/13/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0440007 | — | TN |
| 01 | — | 4039933 | BCBS | — |