Provider Demographics
NPI:1518948850
Name:NASHVILLE HEALTH MANAGEMENT FOUNDATION & COMPREHENSIVE CARE CENTER
Entity Type:Organization
Organization Name:NASHVILLE HEALTH MANAGEMENT FOUNDATION & COMPREHENSIVE CARE CENTER
Other - Org Name:COMPREHENSIVE CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:CASIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-321-9556
Mailing Address - Street 1:1900 PATTERSON ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2119
Mailing Address - Country:US
Mailing Address - Phone:615-321-9556
Mailing Address - Fax:615-321-9544
Practice Address - Street 1:1900 PATTERSON ST
Practice Address - Street 2:SUITE 100
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2119
Practice Address - Country:US
Practice Address - Phone:615-321-9556
Practice Address - Fax:615-321-9544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-11
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3704415Medicaid
TN3704415Medicare ID - Type Unspecified