Provider Demographics
NPI:1598014482
Name:COMPREHENSIVE HEALTHCARE SYSTEMS OF LENOIR CITY, PC
Entity Type:Organization
Organization Name:COMPREHENSIVE HEALTHCARE SYSTEMS OF LENOIR CITY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFSTETTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-321-3437
Mailing Address - Street 1:301 S GALLAHER VIEW RD STE 224
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919
Mailing Address - Country:US
Mailing Address - Phone:865-951-2012
Mailing Address - Fax:865-951-2575
Practice Address - Street 1:780 HIGHWAY 321 NORTH STE 10
Practice Address - Street 2:
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37771
Practice Address - Country:US
Practice Address - Phone:865-816-6301
Practice Address - Fax:865-816-6305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN27951171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty