Provider Demographics
NPI:1306870852
Name:COILE INC
Entity type:Organization
Organization Name:COILE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:WALLACE
Authorized Official - Last Name:COILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-777-1212
Mailing Address - Street 1:10710 MURDOCK RD
Mailing Address - Street 2:STE 104
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-3257
Mailing Address - Country:US
Mailing Address - Phone:865-777-1212
Mailing Address - Fax:865-675-2709
Practice Address - Street 1:10710 MURDOCK RD
Practice Address - Street 2:STE 104
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932-3257
Practice Address - Country:US
Practice Address - Phone:865-777-1212
Practice Address - Fax:865-675-2709
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COILE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-10
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV36845Medicare PIN
IN214570Medicare PIN
KY9369101Medicare PIN
NC2881755Medicare PIN
TN3790766Medicare PIN
OHID01781Medicare PIN
TN690009417Medicare PIN
TN5447190001Medicare NSC
NDV36845Medicare PIN
AZ79653Medicare PIN