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
145 THOMPSON LANE, NASHVILLE, TN 37211-2411
(615) 781-0013
(615) 781-0688
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
261QP2300X
Primary Care Clinic/Center
Primary
13784
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3376955
—
TN
05
—
Q019946
—
TN
Enumeration date
08/21/2014
Last updated
09/02/2020
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