Mid-South Healthnet

LBN: Mid-South Healthnet
Mid-South Healthnet is an health care organization with primary practice located at 5909 Shelby Oaks Drive Suite 100 , Memphis TN 38134. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Agencies / Community/Behavioral Health is the primary health care specialty. Mid-South Healthnet can be contacted via phone (901) 383-9193, or through Angell, Marlin via phone (901) 383-9193.

Contact Information

Primary practice address
5909 Shelby Oaks Drive Suite 100 Memphis TN 38134
Phone: (901) 383-9193
Fax: (901) 383-9195
Website:
Map and Directions
Authorized official contact:
Name: Angell, Marlin
Phone: (901) 383-9193

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X Tennessee

Profile Details

NPI number 1821479254
LBN Legal business name Mid-South Healthnet
DBA Doing business as
Authorized official Angell, Marlin
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2015
Last updated Jun 15th, 2015 - about 11 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 1821479254 NPPES
Tennessee MEDICAID Q013314

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