OrganizationActive
Healthsource, Inc.
NPI 1780756148 · Parenteral & Enteral Nutrition Supplies (DME) · Hixson, TN
Provider details
- NPI number
- 1780756148
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Authorized official
- Rebecca Fortner, Ceo
- License
- 0000000879 (TN)
Mailing address
5211 Highway 153
Hixson, TN 37343-4956
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.