| Peninsula Outpatient Center | |
|
423 Medical Park Dr Lenoir City TN 37772-5640 | |
| (865) 970-9800 | |
| (865) 380-1461 |
| Full Name | Peninsula Outpatient Center |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 423 Medical Park Dr, Lenoir City, Tennessee |
| Authorized Official Name and Position | John T Geppi (EXECUTIVE VICE PRESIDENT CFO) |
| Authorized Official Contact | 8653746872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Outpatient Center Po Box 1999 Louisville TN 37777-1999 Ph: (865) 970-1295 | Peninsula Outpatient Center 423 Medical Park Dr Lenoir City TN 37772-5640 Ph: (865) 970-9800 |
| NPI Number | 1922080936 |
|---|---|
| Provider Enumeration Date | 11/16/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922080936 | NPI | - | NPPES |
| 0440173 | Medicaid | TN |
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Counseling And Forensic Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 481 Leeper Pkwy Ste 6&7, Lenoir City, TN 37772 Phone: 865-816-3166 Fax: 865-225-9687 | |
Cherokee Health Systems Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 501 Adesa Blvd, Ste A-150, Lenoir City, TN 37771 Phone: 865-986-8082 Fax: 865-986-5890 | |
Holly Blanc Moses, Bcba Lpc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 N B St, Lenoir City, TN 37771 Phone: 865-789-2730 |