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NPI Code Detail

MEDICARE: STATE OF TENNESSEE STATE F & A PAYROLL

MEDICARE: STATE OF TENNESSEE STATE F & A PAYROLL
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
1283Q00000XPsychiatric HospitalL000000017094TN

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 : 1457435893
Entity Type Code : Organization
Provider Name (Legal Business Name) : STATE OF TENNESSEE STATE F & A PAYROLL
Provider Business Mailing Address
First Line : 951 COURT AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38103-2813
Country : US
Telephone Number : 901-577-1800
Fax Number : 901-527-1331
Provider Business Practice Location Address
First Line : 951 COURT AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38103-2813
Country : US
Telephone Number : 901-577-1800
Fax Number : 901-527-1331
Authorized Official
Title or Position : FISCAL DIRECTOR
Name : DONNY HORNSBY
Credential :
Telephone Number : 731-228-0869
Provider Enumeration Date : 10/24/2006
Last Update Date : 11/29/2017

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1104296508 — MARY RAFAELA MORRISON PMHNP- BC
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1104272293 — BRETT ANDREW GEORGE M.D.
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1508376393 — MR. JAMES LEROY LONGMIRE II FNP-BC
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Directions to “STATE OF TENNESSEE STATE F & A PAYROLL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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