| NPI | 1962002790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PLATEK Chief Strategy & Development Office 615-293-1372 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |