Provider Demographics
NPI:1215335740
Name:COUNTY OF HAMILTON, HAMILTON COUNTY GOVERNMENT
Entity type:Organization
Organization Name:COUNTY OF HAMILTON, HAMILTON COUNTY GOVERNMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADMINISTRATIVE SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:JANEE
Authorized Official - Last Name:CALVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-209-8013
Mailing Address - Street 1:5625 HIGHWAY 60
Mailing Address - Street 2:
Mailing Address - City:BIRCHWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37308-5155
Mailing Address - Country:US
Mailing Address - Phone:423-961-0446
Mailing Address - Fax:423-961-2344
Practice Address - Street 1:5625 HIGHWAY 60
Practice Address - Street 2:
Practice Address - City:BIRCHWOOD
Practice Address - State:TN
Practice Address - Zip Code:37308-5155
Practice Address - Country:US
Practice Address - Phone:423-961-0446
Practice Address - Fax:423-209-8001
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF HAMILTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-16
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3371116Medicaid