Organization
STATE OF TENNESSEE
Active
Other names
Montgomery County WIC Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE HALEY (REGIONAL DIRECTOR)
(615) 650-7000
Entity
Organization
Contact information
Practice address
300 PAGEANT LN, CLARKSVILLE, TN 37040-3854
(931) 551-8777
(931) 503-0694
Mailing address
300 PAGEANT LN, CLARKSVILLE, TN 37040-3854
(931) 551-8777
(931) 503-0694
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4447972
—
TN
Enumeration date
08/24/2010
Last updated
08/28/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us