| Organization Name: | TENNESSEE DEPARTMENT OF HEALTH |
| NPI Number: | 1558675728 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EVELYN VAILLENCOURT (DIRECTOR) |
| Mailing Address: | 1021 Spring St Dover |
| State: | TN US |
| Postal Code: | 370583302 |
| Phone Number: | 9312325329 |
| Fax Number: | 9312327247 |
| NPI Enumeration Date: | 07/30/2010 |
| NPI Last Update Date: | 07/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | DO0000001638 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |