Organization
COFFEE MEDICAL GROUP LLC
Active
Other names
Unity Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA E MCCORMICK (CEO)
(931) 728-6354
Entity
Organization
Contact information
Practice address
481 INTERSTATE DR, MANCHESTER, TN 37355-3108
(931) 728-3586
Mailing address
481 INTERSTATE DR, MANCHESTER, TN 37355-3108
(931) 728-6354
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
0000000017
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440007
—
TN
01
—
4039933
BCBS
—
Enumeration date
05/17/2006
Last updated
04/13/2022
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