Provider Demographics
NPI:1083738660
Name:EMPLOYERS HEALTH MANAGEMENT CORPORATION
Entity Type:Organization
Organization Name:EMPLOYERS HEALTH MANAGEMENT CORPORATION
Other - Org Name:EHM
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:423-236-4391
Mailing Address - Street 1:PO BOX 2021
Mailing Address - Street 2:
Mailing Address - City:COLLEGEDALE
Mailing Address - State:TN
Mailing Address - Zip Code:37315
Mailing Address - Country:US
Mailing Address - Phone:423-236-4391
Mailing Address - Fax:423-236-4392
Practice Address - Street 1:10620 APISON PIKE
Practice Address - Street 2:MCKEE MERC CENTER
Practice Address - City:APISON
Practice Address - State:TN
Practice Address - Zip Code:37302
Practice Address - Country:US
Practice Address - Phone:423-236-4391
Practice Address - Fax:423-236-4392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty