Provider Demographics
NPI:1083773584
Name:SUMMIT VIEW HEALTH MANAGEMENT, INC.
Entity Type:Organization
Organization Name:SUMMIT VIEW HEALTH MANAGEMENT, INC.
Other - Org Name:LAWRENCE HEALTHCARE MANAGEMENT, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, NHA
Authorized Official - Phone:865-675-6444
Mailing Address - Street 1:P.O. BOX 23376
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37933
Mailing Address - Country:US
Mailing Address - Phone:865-675-6444
Mailing Address - Fax:865-675-6008
Practice Address - Street 1:10805 HARDING DR.
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932
Practice Address - Country:US
Practice Address - Phone:865-675-6444
Practice Address - Fax:865-675-6008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0490040001Medicare NSC