Organization Name: | ECM HEALTH GROUP LLC |
NPI Number: | 1164887253 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN L PAGE (VICE PRESIDENT) |
Mailing Address: | 722 N Miliary St Loretto |
State: | TN US |
Postal Code: | 384692336 |
Phone Number: | 9318536970 |
Fax Number: | 2567673077 |
NPI Enumeration Date: | 12/16/2015 |
NPI Last Update Date: | 02/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |