Organization
OMNI COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JUST (CHIEF EXECUTIVE OFFICER)
(615) 726-3603
Entity
Organization
Contact information
Practice address
4709 PAPERMILL DRIVE, SUITE 101, KNOXVILLE, TN 37909-1928
(865) 525-0391
(865) 381-1205
Mailing address
301 S PERIMETER PARK DRIVE, SUITE 210, NASHVILLE, TN 37211-4128
(615) 726-3603
(615) 827-0421
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
17806
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q020542
—
TN
Enumeration date
04/04/2016
Last updated
09/02/2020
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