| Sp Acquisition Corp. | |
|
1000 Highway 28 Jasper TN 37347-3638 | |
| (423) 837-9500 | |
| (423) 837-3333 |
| Full Name | Sp Acquisition Corp. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1000 Highway 28, Jasper, Tennessee |
| Authorized Official Name and Position | S Ray Coffey (VP, REIMBURSEMENT) |
| Authorized Official Contact | 6157643009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sp Acquisition Corp. 1000 Highway 28 Jasper TN 37347-3638 Ph: (423) 837-9500 | Sp Acquisition Corp. 1000 Highway 28 Jasper TN 37347-3638 Ph: (423) 837-9500 |
| NPI Number | 1881642841 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 07/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881642841 | NPI | - | NPPES |
| 044S064 | Medicaid | TN | |
| 1000083 | Medicaid | TN | |
| 222276000 | Medicaid | TN | |
| 4022166 | Other | TN | MAGELLAN BC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 0000002180 (Tennessee) | Primary |
Sarath B. Gangavarapu Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 Highway 28, Jasper, TN 37347 Phone: 423-837-3350 Fax: 423-837-9525 | |
Tennessee Behavioral Therapy Jasper Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Courthouse Sq, Jasper, TN 37347 Phone: 423-847-2998 |