Organization
C A H MANAGMENT COMPANY, LLC
Active
Other names
Children's Hosptial Urgent Care, Children's Hospital Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN GODBOLD (VP OF OPERSATIONS)
(865) 293-5676
Entity
Organization
Contact information
Practice address
1025 CHILDRENS WAY, KNOXVILLE, TN 37922-7713
(865) 293-5676
(865) 291-3239
Mailing address
265 BROOKVIEW CENTRE WAY STE 400, KNOXVILLE, TN 37919-4052
(865) 693-1000
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
CHILDREN PEDIATRIC CLINIC
TN
Enumeration date
09/28/2017
Last updated
06/16/2018
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