Organization
COALESCE MEDICAL SERVICES LLC
Active
Organization
COALESCE MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN DUBRAY (CEO)
(931) 322-2273
Entity
Organization
Contact information
Practice address
1696 WEST BROAD STREET, COOKEVILLE, TN 38501
(931) 486-3345
Mailing address
PO BOX 104, BAXTER, TN 38544-0104
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/21/2021
Last updated
06/10/2025
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