1518405935 NPI number — MERCY HEALTH SERVICES - WESTWOOD ELEMENTARY SCHOOL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518405935 NPI number — MERCY HEALTH SERVICES - WESTWOOD ELEMENTARY SCHOOL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MERCY HEALTH SERVICES - WESTWOOD ELEMENTARY SCHOOL
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:
Provider Other Organization Name Type Code:
6
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:
1518405935
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/06/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1113 MURFREESBORO RD
Provider Second Line Business Mailing Address:
SUITE 319
Provider Business Mailing Address City Name:
FRANKLIN
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37064-1306
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-790-0567
Provider Business Mailing Address Fax Number:
615-595-8030

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7200 TIGER TRL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FAIRVIEW
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37062-7235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-790-0567
Provider Business Practice Location Address Fax Number:
615-595-8030
Provider Enumeration Date:
02/06/2017

Additional Information

Authorized Official

Authorized Official Last Name:
OWENS
Authorized Official First Name:
MARGARET
Authorized Official Middle Name:
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
615-790-0567

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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