Organization
STATE OF TENNESSEE
Active
Other names
Coffee County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J WHITWELL (OFFICE SUPERVISOR)
(931) 490-8334
Entity
Organization
Contact information
Practice address
800 PARKS ST, MANCHESTER, TN 37355-2482
(931) 723-5134
(931) 723-5148
Mailing address
800 PARKS ST, MANCHESTER, TN 37355-2482
(931) 723-5134
(931) 723-5148
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0153315
BC/BS & TENNCARE SELECT
TN
05
—
4448009
—
TN
Enumeration date
07/11/2006
Last updated
09/25/2012
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