Provider Demographics
NPI:1700238516
Name:MEDICAL ACQUSITION
Entity Type:Organization
Organization Name:MEDICAL ACQUSITION
Other - Org Name:MEDICAL ACQUSITION HEALTHCARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER-OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:MCCULLER
Authorized Official - Suffix:
Authorized Official - Credentials:MSC
Authorized Official - Phone:615-302-8134
Mailing Address - Street 1:2131 MURFREESBORO PIKE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-3367
Mailing Address - Country:US
Mailing Address - Phone:931-981-5086
Mailing Address - Fax:615-864-7912
Practice Address - Street 1:2131 MURFREESBORO PIKE
Practice Address - Street 2:SUITE 203
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3367
Practice Address - Country:US
Practice Address - Phone:931-981-5086
Practice Address - Fax:615-864-7912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000014397251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ021856Medicaid