MEDICARE: MMS KNOXVILLE 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
1	332B00000X	Durable Medical Equipment & Medical Supplies	0037473	TN
2	332BX2000X	Oxygen Equipment & Supplies (DME)	4723507	TN

Other Identifiers

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

General Provider Information

NPI Number	:	1609950260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MMS KNOXVILLE INC

Provider Business Mailing Address
First Line	:	5210 MIDDLEBROOK PIKE
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37921-5972
Country	:	US
Telephone Number	:	865-584-5501
Fax Number	:	865-584-5560

Provider Business Practice Location Address
First Line	:	2322 CONGRESS PKWY S
Second Line	:
City	:	ATHENS
State	:	TN
Zip	:	37303-2820
Country	:	US
Telephone Number	:	423-746-0481
Fax Number	:	423-746-0483

Authorized Official
Title or Position	:	BILLING MGR
Name	:	MS. SABRINA HAHN
Credential	:
Telephone Number	:	865-584-5501

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	05/19/2008

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Directions to “MMS KNOXVILLE INC ” Practice Location

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