1144299306 NPI number — INSIGHT HEALTH CORP

Table of content: (NPI 1144299306)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144299306 NPI number — INSIGHT HEALTH CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INSIGHT HEALTH CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
THE IMAGING CENTER OF MURFREESBORO
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144299306
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/20/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 404166
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30384-4166
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-282-6000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1001 N HIGHLAND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURFREESBORO
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37130-2450
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-890-8999
Provider Business Practice Location Address Fax Number:
615-893-6812
Provider Enumeration Date:
03/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
STANLEY
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
F.
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER; TREASURER
Authorized Official Telephone Number:
949-282-6000

Provider Taxonomy Codes

  • Taxonomy code: 293D00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 142677XX . This is a "PREFERRED CARE" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 1301417 . This is a "HEALTHSPRING" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 3790235 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3193546 . This is a "XANTUS" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 16-40336 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 244522748 . This is a "U.S. DEPT OF LABOR OWCP" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 3193545 . This is a "ACCESS MED-PLUS" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 470000899 . This is a "PALMETTO GBA (RAILROAD)" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: UCA0191 . This is a "UNIVERSAL CARE" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 900131102001 . This is a "MEDFOCUS" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: TN0103 . This is a "JOHN DEERE" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 0694742 . This is a "AETNA" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 470000899 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".




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