CCN: 447454 NPI: 1881676468 Organization

INTREPID USA HEALTHCARE SERVICES

350 CALDWELL ST
MCMINNVILLE, TN 371102032

Contact Information

Phone 9314739561
Fax 9314735351
Enumeration Date 2005-11-18
Last Updated 2025-08-07

Taxonomies

Code: 251E00000X (Primary) License State: TN License: 263

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 44

providerType 36

specialPaymentIndicator

carrierCode 10312

localityCode 35