Provider Demographics
NPI:1417000944
Name:MID-CUMBERLAND HUMAN RESOURCE AGENCY
Entity Type:Organization
Organization Name:MID-CUMBERLAND HUMAN RESOURCE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-850-3928
Mailing Address - Street 1:1101 KERMIT DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2126
Mailing Address - Country:US
Mailing Address - Phone:615-331-6033
Mailing Address - Fax:615-832-8624
Practice Address - Street 1:1101 KERMIT DR
Practice Address - Street 2:SUITE 300
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2126
Practice Address - Country:US
Practice Address - Phone:615-331-6033
Practice Address - Fax:615-832-8624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)