Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
COFFEE MEDICAL GROUP LLC
Active
Organization
COFFEE MEDICAL GROUP LLC
Active
Other names
MANCHESTER RURAL HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J COUCH (CHIEF EXECUTIVE OFFICER)
(931) 728-6354
Entity
Organization
Contact information
Practice address
482 INTERSTATE DR, SUITE A, MANCHESTER, TN 37355-3109
(931) 728-4718
(931) 728-1016
Mailing address
482 INTERSTATE DR, MANCHESTER, TN 37355-3109
(931) 728-4718
(931) 728-1016
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/29/2010
Last updated
02/09/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers