Organization
MEDICAL HEALTH SPECIALIST OF TN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES HAROLD OVERALL JR. (VICE PRESIDENT)
(731) 855-0966
Entity
Organization
Contact information
Practice address
112 E COURT SQUARE, TRENTON, TN 38382
(731) 855-0966
(731) 855-0660
Mailing address
PO 63, TRENTON, TN 38382
(731) 855-0966
(731) 855-0660
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0000000400
TN
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
00000000400
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117250
UNISON HEALTH PLANS
TN
05
—
1450530
—
TN
01
—
23526
BLUE CROSS BS OF TN
TN
Enumeration date
02/23/2007
Last updated
06/13/2008
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