Organization
CHC901 LLC
Active
Other names
Community Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL W NOLEN JR. (CHAIRMAN)
(901) 275-5131
Entity
Organization
Contact information
Practice address
2565 HORIZON LAKE DR STE 110, MEMPHIS, TN 38133-8113
(901) 321-0911
Mailing address
PO BOX 250, BRUNSWICK, TN 38014-0250
(901) 425-9500
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
3416A0800X
Air Ambulance
—
—
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/21/2019
Last updated
05/06/2020
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