| Omni Community Health | |
|
740 Conference Drive Suite 101 Goodlettsville TN 37072-2084 | |
| (615) 992-9082 | |
| (615) 781-0688 |
| Full Name | Omni Community Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 740 Conference Drive, Goodlettsville, 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 740 Conference Drive Suite 101 Goodlettsville TN 37072-2084 Ph: (615) 992-9082 |
| NPI Number | 1316573199 |
|---|---|
| Provider Enumeration Date | 03/12/2020 |
| Last Update Date | 09/02/2020 |
| Certification Date | 09/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316573199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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