Provider Demographics
NPI:1235184052
Name:CONTRACT HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:CONTRACT HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:E
Authorized Official - Last Name:DICKERSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:865-588-1941
Mailing Address - Street 1:PO BOX 50293
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37950-0293
Mailing Address - Country:US
Mailing Address - Phone:865-588-1941
Mailing Address - Fax:865-584-0530
Practice Address - Street 1:2016 CASTAIC LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932-1557
Practice Address - Country:US
Practice Address - Phone:865-588-1941
Practice Address - Fax:865-584-0530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Multi-Specialty
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty
No2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular SonographyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3790160Medicaid
TN3790160Medicare ID - Type Unspecified