Organization
AMERIGROUP TENNESSEE, INC.
Active
Other names
AMERIGROUP Community Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES BRIAN SHIPP (PRESIDENT AND CHIEF EXECUTIVE OFFIC)
(615) 231-6065
Entity
Organization
Contact information
Practice address
22 CENTURY BLVD, SUITE 310, NASHVILLE, TN 37214-3762
(615) 231-6065
Mailing address
22 CENTURY BLVD, SUITE 310, NASHVILLE, TN 37214-3762
(615) 231-6065
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032
—
TN
Enumeration date
04/09/2007
Last updated
06/22/2009
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