Provider Demographics
NPI:1326392135
Name:HIGH FOREST HEALTH GROUP
Entity Type:Organization
Organization Name:HIGH FOREST HEALTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUYNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-796-1818
Mailing Address - Street 1:120 KITTRELL ST
Mailing Address - Street 2:
Mailing Address - City:HOHENWALD
Mailing Address - State:TN
Mailing Address - Zip Code:38462
Mailing Address - Country:US
Mailing Address - Phone:931-796-1818
Mailing Address - Fax:931-796-1819
Practice Address - Street 1:120 KITTRELL ST
Practice Address - Street 2:
Practice Address - City:HOHENWALD
Practice Address - State:TN
Practice Address - Zip Code:38462
Practice Address - Country:US
Practice Address - Phone:931-796-1818
Practice Address - Fax:931-796-1819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-31
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty