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NPI Code Detail

MEDICARE: GENERATIONS HEALTH ASSOCIATION, INC.

MEDICARE: GENERATIONS HEALTH ASSOCIATION, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)L2140753006TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245212380
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENERATIONS HEALTH ASSOCIATION, INC.
Provider Business Mailing Address
First Line : PO BOX 640
Second Line :
City : MC MINNVILLE
State : TN
Zip : 37111-0640
Country : US
Telephone Number : 931-815-1212
Fax Number : 931-815-1221
Provider Business Practice Location Address
First Line : 5736 MANCHESTER HWY
Second Line :
City : MORRISON
State : TN
Zip : 37357-7503
Country : US
Telephone Number : 931-815-1212
Fax Number : 931-815-1221
Authorized Official
Title or Position : CEO/CFO
Name : MRS. KATHRYN CAMPBELL
Credential :
Telephone Number : 931-507-1212
Provider Enumeration Date : 11/15/2005
Last Update Date : 04/10/2019

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Directions to “GENERATIONS HEALTH ASSOCIATION, INC. ” Practice Location

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