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Coffee Medical Group Llc
Rural Acute Care Hospital in Manchester, Tennessee
NPI 1013969179

Coffee Medical Group Llc is a Rural Acute Care Hospital based in Manchester, TN and is specialized in Rural. Coffee Medical Group Llc practices in Manchester, TN. The NPI Number for Coffee Medical Group Llc is 1013969179 and holds a License No. 0000000017 (Tennessee).

The current practice location address for Coffee Medical Group Llc is 481 Interstate Dr, Manchester, TN and can be reached out via phone at 931-728-3586.

Location: 481 Interstate Dr, Manchester, TN, 37355-3108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013969179
Provider Name
Coffee Medical Group Llc
Credential
Provider Entity Type
Organization
Address
481 Interstate Dr, Manchester, TN, 37355-3108
Phone Number
931-728-3586
Fax Number
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4039933 01 BCBS
4039933 01 BLUE CARE TENN CARE SEL
0440007 05 TN
4039933 01 BCBST
institution
Provider Business Practice Location Address Details
Address
481 Interstate Dr
City
Manchester
State
Tennessee
Zip
37355-3108
Phone Number
931-728-3586
Fax Number
person
Provider Business Mailing Address Details
Address
481 Interstate Dr
City
Manchester
State
Tennessee
Zip
37355-3108
Phone Number
931-728-3586
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Rural
Taxonomy
282NR1301X
License No.
0000000017 (Tennessee)
Definition
Definition to come...
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