Organization
HEALTHSOURCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA FORTNER (CEO)
(423) 648-2095
Entity
Organization
Contact information
Practice address
5211 HIGHWAY 153, SUITE K, HIXSON, TN 37343-4956
(423) 648-2095
Mailing address
5211 HIGHWAY 153, SUITE K, HIXSON, TN 37343-4956
(423) 648-2095
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
0000000879
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455029
—
TN
Enumeration date
11/14/2006
Last updated
08/22/2020
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