Provider Demographics
NPI:1265458657
Name:WOLFE MEDICAL, INC.
Entity Type:Organization
Organization Name:WOLFE MEDICAL, INC.
Other - Org Name:LAMBERT'S HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:S
Authorized Official - Last Name:WOLFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-686-7670
Mailing Address - Street 1:PO BOX 5844
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37928-0844
Mailing Address - Country:US
Mailing Address - Phone:865-686-7670
Mailing Address - Fax:865-687-7133
Practice Address - Street 1:11390 PARKSIDE DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-1971
Practice Address - Country:US
Practice Address - Phone:865-691-7305
Practice Address - Fax:865-531-9057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN527332B00000X, 332BP3500X
TN2443332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1450513Medicaid
TN2006279OtherBLUE CROSS BLUE SHIELD OF
TN1450513Medicaid