| Omni Community Health | |
|
1420 W. Baddour Parkway Suite 240 Lebanon TN 37087-1510 | |
| (615) 453-1606 | |
| (615) 453-1607 |
| Full Name | Omni Community Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1420 W. Baddour Parkway, Lebanon, 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 1420 W. Baddour Parkway Suite 240 Lebanon TN 37087-1510 Ph: (615) 453-1606 |
| NPI Number | 1730238155 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 09/02/2020 |
| Certification Date | 09/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730238155 | NPI | - | NPPES |
| 3376955 | Medicaid | TN | |
| Q019925 | Medicaid | TN |
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