Healthcare Provider Details

I. General information

NPI: 1235184052
Provider Name (Legal Business Name): CONTRACT HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 12/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2016 CASTAIC LN
KNOXVILLE TN
37932-1557
US

IV. Provider business mailing address

PO BOX 50293
KNOXVILLE TN
37950-0293
US

V. Phone/Fax

Practice location:
  • Phone: 865-588-1941
  • Fax: 865-584-0530
Mailing address:
  • Phone: 865-588-1941
  • Fax: 865-584-0530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2471V0105X
TaxonomyVascular Sonography Radiologic Technologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number
License Number State

VIII. Authorized Official

Name: MR. HAROLD E DICKERSON JR.
Title or Position: CEO
Credential:
Phone: 865-588-1941