Provider Demographics
NPI:1376689703
Name:CLAIBORNE AND HUGHES HEALTH CTR
Entity Type:Organization
Organization Name:CLAIBORNE AND HUGHES HEALTH CTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MILLICENT
Authorized Official - Middle Name:
Authorized Official - Last Name:MORLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-550-5034
Mailing Address - Street 1:200 STRAHL ST.
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-3556
Mailing Address - Country:US
Mailing Address - Phone:615-550-5034
Mailing Address - Fax:615-791-0357
Practice Address - Street 1:200 STRAHL ST.
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-3556
Practice Address - Country:US
Practice Address - Phone:615-550-5034
Practice Address - Fax:615-791-0357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0445157Medicaid
TN6438OtherBLUE CROSS BLUE SHIELD
TN7440367Medicaid
TN445157Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
TN0445157Medicaid