| Tristar Centennial Medical Center | |
|
2300 Patterson St Nashville TN 37203-1538 | |
| (615) 342-1000 | |
| (615) 342-1045 |
| Full Name | Tristar Centennial Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2300 Patterson St, Nashville, Tennessee |
| Authorized Official Name and Position | David Summers (CFO) |
| Authorized Official Contact | 6153421005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tristar Centennial Medical Center 2300 Patterson St Nashville TN 37203-1538 Ph: (615) 342-1000 | Tristar Centennial Medical Center 2300 Patterson St Nashville TN 37203-1538 Ph: (615) 342-1000 |
| NPI Number | 1750328852 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 06/21/2012 |
| Medicare PECOS PAC ID | 0749192789 |
|---|---|
| Medicare Enrollment ID | O20070814000843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750328852 | NPI | - | NPPES |
| 6530980 | Other | AETNA (PSYCH) | |
| 1000166 | Other | TN | MAGELLAN BLUE CROSS |
| 184716000 | Other | TN | TNCARE PREMIER/TBH |
| 022768000 | Other | TN | MAGELLAN PPO & HMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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