Healthcare Provider Details

I. General information

NPI: 1073060380
Provider Name (Legal Business Name): TEAM HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2016
Last Update Date: 09/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 S SCHEUBER RD
CENTRALIA WA
98531-9027
US

IV. Provider business mailing address

2402 COUNTRY CLUB PKWY
GARLAND TX
75041-2148
US

V. Phone/Fax

Practice location:
  • Phone: 360-736-2803
  • Fax:
Mailing address:
  • Phone: 206-641-1237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER MICHAEL JONES
Title or Position: PHYSICIAN ASSISTANT
Credential: PA
Phone: 206-641-1237