Provider Type Icon

CUSTOMIZED MEDICAL NEEDS NPI 1679994198


NPI Information

NPI: 1679994198
Provider Name: CUSTOMIZED MEDICAL NEEDS
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
8295 TOURNAMENT DR
STE 2
MEMPHIS, TN
ZIP 38125
Phone: (866) 563-7772
Get Directions

CUSTOMIZED MEDICAL NEEDS is a point of service in Memphis, TN. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. CUSTOMIZED MEDICAL NEEDS NPI is 1679994198. The provider is registered as an organization entity type.

The provider's business location address is:

8295 TOURNAMENT DR
STE 2
MEMPHIS, TN
ZIP 38125-906
Phone: (866) 563-7772
Fax: (901) 255-0758

The provider's authorized official is Christi Alexander-davidson .
The authorized official title is Executive Director and has the following contact phone number (866) 563-7772.

The enumeration date for this NPI number is 12/31/2013 and was last updated on 12/31/2013.


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
1305S00000XPoint of Service6151932TENNESSEEYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.