| Omni Community Health | |
|
145 Thompson Lane Nashville TN 37211-2411 | |
| (615) 781-0013 | |
| (615) 781-0688 |
| Full Name | Omni Community Health |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 145 Thompson Lane, Nashville, 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 145 Thompson Lane Nashville TN 37211-2411 Ph: (615) 781-0013 |
| NPI Number | 1912306382 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 09/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912306382 | NPI | - | NPPES |
| Q019946 | Medicaid | TN | |
| 3376955 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 13784 (Tennessee) | Primary |
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