Moccasin Bend Mental Health Inst
LBN: State Of Tennessee State F & A Payroll
Moccasin Bend Mental Health Inst is an health care organization with primary practice located at 100 Moccasin Bend Rd , Chattanooga TN 37405-4415. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
State Of Tennessee State F & A Payroll can be contacted via phone (423) 785-3321, or through Carter, Jason via phone (615) 532-6736.
Contact Information
Primary practice address
100 Moccasin Bend Rd
Chattanooga TN 37405-4415
Phone: (423) 785-3321
Fax: (423) 785-3454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Institutional Pharmacy | 3336I0012X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | L2(16)M21051098 | Tennessee |
Profile Details
| NPI number | 1104869486 |
|---|---|
| LBN Legal business name | State Of Tennessee State F & A Payroll |
| DBA Doing business as | Moccasin Bend Mental Health Inst |
| Authorized official | Carter, Jason |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Oct 14th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104869486 | NPPES |
| Other | 2088533 | PK |
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