Healthcare Provider Details

I. General information

NPI: 1962273367
Provider Name (Legal Business Name): CALHOUN & ASSOCIATES CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2024
Last Update Date: 01/15/2024
Certification Date: 01/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

292 N HIGHLAND AVE
JACKSON TN
38301-6033
US

IV. Provider business mailing address

292 N HIGHLAND AVE
JACKSON TN
38301-6033
US

V. Phone/Fax

Practice location:
  • Phone: 731-238-1977
  • Fax: 515-724-6976
Mailing address:
  • Phone: 731-238-1977
  • Fax: 515-724-6976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANGELA R CALHOUN
Title or Position: OWNER/ LEAD AGENT
Credential:
Phone: 731-238-1977