Provider Demographics
NPI:1407378755
Name:WELLVIEW, INC.
Entity type:Organization
Organization Name:WELLVIEW, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:LENSIE
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BURLEYSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-326-5783
Mailing Address - Street 1:810 DOMINICAN DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1906
Mailing Address - Country:US
Mailing Address - Phone:615-326-5783
Mailing Address - Fax:615-255-4111
Practice Address - Street 1:810 DOMINICAN DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1906
Practice Address - Country:US
Practice Address - Phone:615-326-5783
Practice Address - Fax:615-255-4111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN322623309OtherFRANCHISE & EXCISE TAX ID