| Tennessee Community Health Services, Inc. | |
|
882 Highway 92 S Dandridge TN 37725-4621 | |
| (865) 397-9889 | |
| (865) 397-9665 |
| Full Name | Tennessee Community Health Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 882 Highway 92 S, Dandridge, Tennessee |
| Authorized Official Name and Position | Trolan Bruce Ingle (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 8653971038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee Community Health Services, Inc. 878 Highway 92 S Dandridge TN 37725-4621 Ph: (865) 397-1038 | Tennessee Community Health Services, Inc. 882 Highway 92 S Dandridge TN 37725-4621 Ph: (865) 397-9889 |
| NPI Number | 1710131313 |
|---|---|
| Provider Enumeration Date | 11/10/2008 |
| Last Update Date | 01/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710131313 | NPI | - | NPPES |
| 1509740 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 8011784 (Tennessee) | Primary |
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