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SOUTH CENTRAL COMMUNITY SERVICES AGENCY NPI 1609924752


NPI Information

NPI: 1609924752
Provider Name: SOUTH CENTRAL COMMUNITY SERVICES AGENCY
Classification: Transportation Broker - 347E00000X
Entity Type: Organization

CLIA Number: 44D0921901

Address:
1400 COLLEGE PARK DRIVE
SUITE D
COLUMBIA, TN
ZIP 38401
Phone: (931) 375-5000
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SOUTH CENTRAL COMMUNITY SERVICES AGENCY is a transportation broker in Columbia, TN. The provider is an organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation. SOUTH CENTRAL COMMUNITY SERVICES AGENCY NPI is 1609924752. The provider is registered as an organization entity type.

The provider's business location address is:

1400 COLLEGE PARK DRIVE
SUITE D
COLUMBIA, TN
ZIP 38401
Phone: (931) 375-5000
Fax: (931) 375-2011

The provider's authorized official is Paul Lynch .
The authorized official title is Director and has the following contact phone number (931) 375-5000.

The CLIA number assigned to this NPI record is 44D0921901 - public health laboratories with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/8/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1347E00000XTransportation BrokerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T000209MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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