Organization · Type 2 NPI

Vanderbilt Integrated Providers, LLC

Rural Health Clinic/Center · Tullahoma, TN

NPI number 1891573473 Active

Practice location

1330 Cedar Ln Ste 100
Tullahoma, TN 37388-2284

Call (931) 393-3366 Map

Fax (931) 393-1065

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Another provider at this address

Shelbyville Hospital Company LLCRural Health Clinic/Center Tullahoma, TN NPI 1871001271

Other rural health clinic/center providers in Tullahoma

See all in Tullahoma →

NPI record

NPI: 1891573473
Entity type: Organization (Type 2)
Issued: Sep 15, 2023
Last updated: Jun 12, 2024
Status: Active

Other names

<unavail>
Vanderbilt Integrated Internal Medicine Cedar Lane · doing business as
Vanderbilt Integrated Internal Medicine Cedar Lane · doing business as

Authorized official

Wendy Monaci
Vice President
(615) 936-3944

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1891573473

Vanderbilt Integrated Providers, LLC's National Provider Identifier is 1891573473, issued on Sep 15, 2023. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Tullahoma, TN. The record was last updated on Jun 12, 2024.