Healthcare Provider Details

I. General information

NPI: 1689990392
Provider Name (Legal Business Name): HEALTHCARE RESOURCE NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2010
Last Update Date: 04/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 GALLATIN PIKE SOUTH SUITE 203
MADISON TN
37115-4627
US

IV. Provider business mailing address

1160 GALLATIN PIKE SOUTH SUITE 203
MADISON TN
37115-4627
US

V. Phone/Fax

Practice location:
  • Phone: 615-865-1988
  • Fax: 615-865-1983
Mailing address:
  • Phone: 615-865-1988
  • Fax: 615-865-1983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: JEANNA BERRY
Title or Position: CEO
Credential:
Phone: 615-865-1988