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NPI Code Detail

MEDICARE: NHC HEALTHCARE KNOXVILLE LLC

MEDICARE: NHC HEALTHCARE KNOXVILLE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0400XRehabilitation Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14041472OTHERPPO

General Provider Information

NPI Number : 1073652905
Entity Type Code : Organization
Provider Name (Legal Business Name) : NHC HEALTHCARE KNOXVILLE LLC
Provider Business Mailing Address
First Line : 809 E EMERALD AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37917-5550
Country : US
Telephone Number : 865-524-7366
Fax Number :
Provider Business Practice Location Address
First Line : 809 E EMERALD AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37917-5550
Country : US
Telephone Number : 865-524-7366
Fax Number :
Authorized Official
Title or Position : SVP
Name : R MICHAEL USSERY
Credential :
Telephone Number : 615-890-2020
Provider Enumeration Date : 02/06/2007
Last Update Date : 08/22/2020

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Directions to “NHC HEALTHCARE KNOXVILLE LLC ” Practice Location

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