TEN BROECK TENNESSEE
NPI 1194088112
Psychiatric Hospital in Cookeville, TN

Q: What is Premiercare Tennessee Inc's NPI number?

The NPI number for Premiercare Tennessee Inc is 1194088112. It was assigned to this organization in the NPPES registry on June 25, 2012. The provider is doing business as Ten Broeck Tennessee.

Q: What is Premiercare Tennessee Inc's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Active since June 25, 2012

1 MEDICAL CENTER BLVD, 5 WEST, COOKEVILLE, TN 38501(931) 783-2570(931) 783-2579 Get Directions Write a Review

NPPES record last updated: January 10, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ten Broeck Tennessee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEN BROECK TENNESSEE (NPI 1194088112) is a healthcare organization registered as a psychiatric hospital in Cookeville, Tennessee and active in the NPI registry since June 2012. The organization lists David Corddry, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1194088112

Entity TypeOrganization

Primary Taxonomy283Q00000X

Legal Business NamePREMIERCARE TENNESSEE INC

Location Address1 MEDICAL CENTER BLVD, 5 WESTCookeville, TN 38501-4294

Mailing Address603 Main StWindermere, FL 34786-3548 · (407) 876-2200 · Fax (407) 876-3065

Phone(931) 783-2570

Fax(931) 783-2579

Organization SubpartNo

Authorized OfficialDavid CorddryChief Financial Officer · (407) 876-2200

Enumeration DateJune 25, 2012

Last NPPES UpdateJanuary 10, 2013

✔ NPI 1194088112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals

Taxonomy Code283Q00000X

Licenses✔ Licensed in TN · I000000011394✔ Licensed in TN · I000000012016

Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

1 MEDICAL CENTER BLVD, Cookeville, TN 38501

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Other Names 1

Doing Business AsTen Broeck Tennessee

Other Identifiers 1

Medicare OSCAR/certification444022

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANNY J STRANGE MD

Anesthesiology