United Regional Medical Center Nursing Home

LBN: Coffee Medical Group Llc
United Regional Medical Center Nursing Home is an health care organization with primary practice located at 1001 Mcarthur Drive , Manchester TN 37355. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Coffee Medical Group Llc can be contacted via phone (931) 728-3586, or through Hopkins, Holly B via phone (931) 461-3425.

Contact Information

Primary practice address
1001 Mcarthur Drive Manchester TN 37355
Phone: (931) 728-3586
Fax: (931) 723-0781
Website:
Map and Directions
Authorized official contact:
Name: Hopkins, Holly B
Phone: (931) 461-3425

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 7440354 Tennessee
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 445383 Tennessee

Profile Details

NPI number 1063509271
LBN Legal business name Coffee Medical Group Llc
DBA Doing business as United Regional Medical Center Nursing Home
Authorized official Hopkins, Holly B
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2006
Last updated Jun 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063509271 NPPES
Tennessee Other 4039933 BCBS
Tennessee MEDICAID 0445383 BCBS
Tennessee MEDICAID 7440354 BCBS

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