| Vcphcs Xx, Llc | |
|
2555 E Wood St Paris TN 38242-7990 | |
| (731) 641-4545 | |
| (731) 641-4546 |
| Full Name | Vcphcs Xx, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2555 E Wood St, Paris, Tennessee |
| Authorized Official Name and Position | Jemece Michelle Gasaway (DIRECTOR OF LICENSING) |
| Authorized Official Contact | 2143656126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vcphcs Xx, Llc 5001 Spring Valley Road Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | Vcphcs Xx, Llc 2555 E Wood St Paris TN 38242-7990 Ph: (731) 641-4545 |
| NPI Number | 1265878334 |
|---|---|
| Provider Enumeration Date | 05/16/2013 |
| Last Update Date | 02/20/2019 |
| Medicare PECOS PAC ID | 8325316581 |
|---|---|
| Medicare Enrollment ID | O20200201000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265878334 | NPI | - | NPPES |
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