Healthcare Provider Details

I. General information

NPI: 1386856599
Provider Name (Legal Business Name): THE EMPLOYEE HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 08/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 SOUTH CHURCH STREET
MURFREESBORO TN
37130
US

IV. Provider business mailing address

PO BOX 1315
MURFREESBORO TN
37133-1315
US

V. Phone/Fax

Practice location:
  • Phone: 615-904-9200
  • Fax: 615-904-0330
Mailing address:
  • Phone: 615-904-9200
  • Fax: 615-904-0330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License NumberMD024971
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberMD024971
License Number StateTN

VIII. Authorized Official

Name: SHELBY LYDIA VAUGHN
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 615-904-9200