Provider Demographics
NPI:1619368842
Name:COMMUNITY CARE HEALTH NETWORK LLC
Entity type:Organization
Organization Name:COMMUNITY CARE HEALTH NETWORK LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-564-3627
Mailing Address - Street 1:424 CHURCH ST STE 2600
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37219-2379
Mailing Address - Country:US
Mailing Address - Phone:877-564-3627
Mailing Address - Fax:877-561-7566
Practice Address - Street 1:424 CHURCH ST STE 220
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37219-2464
Practice Address - Country:US
Practice Address - Phone:877-564-3627
Practice Address - Fax:877-561-7566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-10
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty