Provider Demographics
NPI:1144215047
Name:METRO PUBLIC HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:METRO PUBLIC HEALTH DEPARTMENT
Other - Org Name:DOWNTOWN CLINIC FOR THE HOMELESS
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:ORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-862-7900
Mailing Address - Street 1:2124B CHICKEN RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37090-7609
Mailing Address - Country:US
Mailing Address - Phone:615-862-7900
Mailing Address - Fax:615-862-6762
Practice Address - Street 1:526 8TH AVE S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-4139
Practice Address - Country:US
Practice Address - Phone:615-862-7900
Practice Address - Fax:615-862-6762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL2140551001261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center