Crmc Mso Sub 1, Incorporated
NPI 1972648319ActiveOrganization· Specialist· Cookeville, TN
Specialist in Cookeville, Tennessee, registered in NPPES in February 2007. The authorized official on file is Marilyn C. Key, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1972648319 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 21, 2007 |
| Last updated in NPPES | Jul 16, 2024 |
| Certified by provider | Jul 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
| Physician Assistant, Surgical | 363AS0400X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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