Provider Demographics
NPI:1154775872
Name:HOPE FAMILY HEALTH SERVICES
Entity type:Organization
Organization Name:HOPE FAMILY HEALTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:615-644-6979
Mailing Address - Street 1:1124 NEW HIGHWAY 52 E
Mailing Address - Street 2:
Mailing Address - City:WESTMORELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37186-5060
Mailing Address - Country:US
Mailing Address - Phone:615-644-0495
Mailing Address - Fax:615-644-2417
Practice Address - Street 1:1124 NEW HIGHWAY 52 E
Practice Address - Street 2:
Practice Address - City:WESTMORELAND
Practice Address - State:TN
Practice Address - Zip Code:37186-5060
Practice Address - Country:US
Practice Address - Phone:615-644-0495
Practice Address - Fax:615-644-2417
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOPE FAMILY HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-19
Last Update Date:2022-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
TN57793336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1154775872Medicaid
2158563OtherPK
TNQ034189Medicaid