Organization
OMNI COMMUNITY HEALTH
Active
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
2001 MALLORY LANE, SUITE 300-B, FRANKLIN, TN 37067-8236
(615) 224-1590
(615) 224-1595
Mailing address
301 S. PERIMETER PARK DRIVE, SUITE 210, NASHVILLE, TN 37211-4128
(615) 726-3603
(614) 827-0421
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3074
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q019926
—
TN
Enumeration date
08/18/2008
Last updated
09/02/2020
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