The Free Clinic is a
General Practice based in Cleveland, Tennessee. The Free Clinic is licensed to practice in Tennessee (license number ) and their current practice location is
55 Mouse Creek Rd Nw, Cleveland, Tennessee. It can be reached at their office (for appointments etc.) via phone at
(423) 479-8989.
NPI number for The Free Clinic is 1366581654 and their current mailing address is Po Box 3604, Cleveland, Tennessee. The Free Clinic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1366581654.
Healthcare Provider's Profile
| Full Name | The Free Clinic |
|---|
| Type | Facility |
|---|
| Speciality | General Practice |
|---|
| Location | 55 Mouse Creek Rd Nw, Cleveland, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1366581654
- Provider Enumeration Date: 02/05/2007
- Last Update Date: 06/27/2014
Medical Identifiers
Medical identifiers for The Free Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366581654 | NPI | - | NPPES |
| 4103176 | Other | TN | BCBS |
| 3676963 | Other | TN | INDIVIDUAL MEDICAID # DR ANGELA |
| P00232343 | Other | TN | RAILROAD MEDICARE |
| 3730173 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (Tennessee) | Secondary |
| 208D00000X | General Practice | (Tennessee) | Primary |
| 363L00000X | Nurse Practitioner | (Tennessee) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. The Free Clinic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
The Free Clinic
Po Box 3604,
Cleveland, TN 37320-3604
Ph: (423) 478-8989 | The Free Clinic
55 Mouse Creek Rd Nw,
Cleveland, TN 37312-4840
Ph: (423) 479-8989 |
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