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NPI Code Detail

MEDICARE: REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC

MEDICARE: REGIONAL EMPLOYEE ASSISTANCE PROGRAM 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
1207V00000XObstetrics & Gynecology Physician
2208600000XSurgery Physician
3207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1669801585
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC
Provider Business Mailing Address
First Line : PO BOX 689022
Second Line :
City : FRANKLIN
State : TN
Zip : 37068-9022
Country : US
Telephone Number : 866-398-7107
Fax Number : 615-465-2879
Provider Business Practice Location Address
First Line : 2301 S GREGG ST
Second Line :
City : BIG SPRING
State : TX
Zip : 79720-5531
Country : US
Telephone Number : 432-466-2000
Fax Number : 432-268-1010
Authorized Official
Title or Position : DIRECTOR
Name : SOPHIA L ARWOOD
Credential :
Telephone Number : 615-628-6038
Provider Enumeration Date : 11/02/2013
Last Update Date : 11/21/2013

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Directions to “REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC ” Practice Location

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