Provider Demographics
NPI:1750748281
Name:STATE OF TENNESSEE HCFA
Entity type:Organization
Organization Name:STATE OF TENNESSEE HCFA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-507-6347
Mailing Address - Street 1:310 GREAT CIRCLE RD
Mailing Address - Street 2:SUITE 400 EAST ATTENTION ACCOUNTING
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37243-1700
Mailing Address - Country:US
Mailing Address - Phone:615-507-6347
Mailing Address - Fax:
Practice Address - Street 1:310 GREAT CIRCLE RD
Practice Address - Street 2:SUITE 400 EAST ATTENTION ACCOUNTING
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37243-1700
Practice Address - Country:US
Practice Address - Phone:615-507-6347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STATE OF TENNESSEE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare