Healthcare Provider Details

I. General information

NPI: 1851432207
Provider Name (Legal Business Name): NHC HEALTHCARE SPRINGFIELD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 8TH AVE E
SPRINGFIELD TN
37172-2910
US

IV. Provider business mailing address

608 8TH AVE E
SPRINGFIELD TN
37172-2910
US

V. Phone/Fax

Practice location:
  • Phone: 615-384-8453
  • Fax:
Mailing address:
  • Phone: 615-384-8453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: R MICHAEL USSERY
Title or Position: SVP
Credential:
Phone: 615-890-2020