Provider Demographics
NPI:1386856599
Name:THE EMPLOYEE HEALTH CENTER
Entity Type:Organization
Organization Name:THE EMPLOYEE HEALTH CENTER
Other - Org Name:UNIVERSAL URGENT CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHELBY
Authorized Official - Middle Name:LYDIA
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-904-9200
Mailing Address - Street 1:PO BOX 1315
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37133-1315
Mailing Address - Country:US
Mailing Address - Phone:615-904-9200
Mailing Address - Fax:615-904-0330
Practice Address - Street 1:905 SOUTH CHURCH STREET
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130
Practice Address - Country:US
Practice Address - Phone:615-904-9200
Practice Address - Fax:615-904-0330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD024971261QU0200X, 261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNF97155Medicare UPIN
TNG05907Medicare UPIN
TN3889661Medicare PIN