Provider Demographics
NPI:1962583666
Name:PRECISION HEALTHCARE, INC.
Entity type:Organization
Organization Name:PRECISION HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIBELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-610-3727
Mailing Address - Street 1:214 CENTERVIEW DR STE 250
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-3248
Mailing Address - Country:US
Mailing Address - Phone:615-367-1444
Mailing Address - Fax:888-665-1445
Practice Address - Street 1:441 DONELSON PIKE
Practice Address - Street 2:SUITE 395
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-3558
Practice Address - Country:US
Practice Address - Phone:615-367-1444
Practice Address - Fax:615-367-1445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X, 261QI0500X
TN35183336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3372692Medicaid
TN1452473OtherTRICARE PIN
TN3141066Medicaid
TN3141066OtherBCBS PIN
TN2284044OtherAETNA HEALTHCARE PIN
TN3372692Medicare PIN
TN3372692Medicaid