Provider Demographics
NPI:1689863680
Name:GENERATIONS HEALTH ASSOC.,INC.DBA GENERATIONS MENTAL HEALTH CENTER
Entity type:Organization
Organization Name:GENERATIONS HEALTH ASSOC.,INC.DBA GENERATIONS MENTAL HEALTH CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRES./CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-815-1212
Mailing Address - Street 1:PO BOX 640
Mailing Address - Street 2:
Mailing Address - City:MC MINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37111-0640
Mailing Address - Country:US
Mailing Address - Phone:931-815-1212
Mailing Address - Fax:931-815-1221
Practice Address - Street 1:550 LEE ST
Practice Address - Street 2:
Practice Address - City:MARTIN
Practice Address - State:TN
Practice Address - Zip Code:38237-2914
Practice Address - Country:US
Practice Address - Phone:931-815-1212
Practice Address - Fax:931-815-1221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility