| Omni Community Health | |
|
2001 Mallory Lane Suite 300-b Franklin TN 37067-8236 | |
| (615) 224-1590 | |
| (615) 224-1595 |
| Full Name | Omni Community Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2001 Mallory Lane, Franklin, Tennessee |
| Authorized Official Name and Position | Mark Just (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6157263603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Community Health 301 S. Perimeter Park Drive Suite 210 Nashville TN 37211-4128 Ph: (615) 726-3603 | Omni Community Health 2001 Mallory Lane Suite 300-b Franklin TN 37067-8236 Ph: (615) 224-1590 |
| NPI Number | 1184870578 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 09/02/2020 |
| Certification Date | 09/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184870578 | NPI | - | NPPES |
| Q019926 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3074 (Tennessee) | Primary |
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