Organization
OMNI COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JUST (CHIEF EXECUTIVE OFFICER)
(615) 726-3603
Entity
Organization
Contact information
Practice address
545 BRANDIES CIRCLE, MURFREESBORO, TN 37128
(615) 295-2176
(615) 295-2645
Mailing address
301 S PERIMETER PARK DRIVE, SUITE 210, NASHVILLE, TN 37211-4128
(615) 726-3603
(615) 827-0421
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3376955
—
TN
05
—
Q019919
—
TN
Enumeration date
07/12/2013
Last updated
09/14/2020
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