1598719098 NPI number — SPINA HEALTH CENTER, INC.

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 1598719098 NPI number — SPINA HEALTH CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPINA HEALTH CENTER, INC.
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:
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:
1598719098
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 LENTZ DR
Provider Second Line Business Mailing Address:
SUITE 90 B
Provider Business Mailing Address City Name:
MADISON
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37115-5135
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-868-6336
Provider Business Mailing Address Fax Number:
615-868-6052

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 LENTZ DR
Provider Second Line Business Practice Location Address:
SUITE 90 B
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37115-5135
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-868-6336
Provider Business Practice Location Address Fax Number:
615-868-6052
Provider Enumeration Date:
05/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CASTELLANI
Authorized Official First Name:
MONICA
Authorized Official Middle Name:
H.
Authorized Official Title or Position:
PRACTICE MANAGER
Authorized Official Telephone Number:
615-283-7344

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  MD19715 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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