Lifeline

LBN: Lifeline
Lifeline is an health care organization with primary practice located at 599 Vickers Pl Ste D , Cookeville TN 38501-4076. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Lifeline can be contacted via phone (931) 525-6773, or through Mauck, Landon Kent via phone (615) 781-0013.

Contact Information

Primary practice address
599 Vickers Pl Ste D Cookeville TN 38501-4076
Phone: (931) 525-6773
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mauck, Landon Kent BBA
Phone: (615) 781-0013

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X I000000003680 Tennessee

Profile Details

NPI number 1619112323
LBN Legal business name Lifeline
DBA Doing business as
Authorized official Mauck, Landon Kent BBA
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 9th, 2008
Last updated Dec 9th, 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 1619112323 NPPES
Tennessee Other 3376955 GROUP MEDICARE

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