| Peninsula Outpatient Center | |
|
520 Cook St Madisonville TN 37354-1508 | |
| (865) 970-9800 | |
| (865) 380-1461 |
| Full Name | Peninsula Outpatient Center |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 520 Cook St, Madisonville, 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 520 Cook St Madisonville TN 37354-1508 Ph: (865) 970-9800 |
| NPI Number | 1801878830 |
|---|---|
| Provider Enumeration Date | 11/16/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801878830 | NPI | - | NPPES |
| 0440173 | Medicaid | TN |
Sequoyah High School Based Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3128 Highway 411, Madisonville, TN 37354 Phone: 423-442-9230 | |
Madisonville Primary School Based Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 268 Warren St, Madisonville, TN 37354 Phone: 423-442-2236 | |
Madisonville Middle School Based Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Green Rd, Madisonville, TN 37354 Phone: 423-442-4154 | |
Madisonville Intermediate School Based Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Green Rd, Madisonville, TN 37354 Phone: 423-442-2454 | |
Action Counseling And Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4023 Highway 411 Unit B, Madisonville, TN 37354 Phone: 423-442-1954 Fax: 423-442-1931 |