Provider Demographics
NPI:1215960216
Name:THE NOWELL CORPORATION
Entity type:Organization
Organization Name:THE NOWELL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLING/DME SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHASTITY
Authorized Official - Middle Name:R
Authorized Official - Last Name:THOMASON
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT, CFO
Authorized Official - Phone:865-988-0000
Mailing Address - Street 1:721 HIGHWAY 321 N
Mailing Address - Street 2:
Mailing Address - City:LENOIR CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37771-5003
Mailing Address - Country:US
Mailing Address - Phone:865-988-0000
Mailing Address - Fax:865-986-1542
Practice Address - Street 1:1926 ALCOA HWY
Practice Address - Street 2:SUITE 110
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1512
Practice Address - Country:US
Practice Address - Phone:865-544-6468
Practice Address - Fax:865-544-6155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN699332B00000X
335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN702008365OtherCARITEN
TN4088617OtherBLUE CROSS BLUE SHIELD
TN4088617OtherBLUE CROSS BLUE SHIELD