| Balanced Medical Center Pllc | |
|
501 W Oakland Ave Ste 3 Johnson City TN 37604-1667 | |
| (423) 283-1300 | |
| (423) 283-1306 |
| Full Name | Balanced Medical Center Pllc |
|---|---|
| Speciality | General Practice |
| Location | 501 W Oakland Ave Ste 3, Johnson City, Tennessee |
| Authorized Official Name and Position | Samuel F Messimer (OWNER) |
| Authorized Official Contact | 4232831300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Medical Center Pllc 501 W Oakland Ave Ste 3 Johnson City TN 37604-1667 Ph: (423) 283-1300 | Balanced Medical Center Pllc 501 W Oakland Ave Ste 3 Johnson City TN 37604-1667 Ph: (423) 283-1300 |
| NPI Number | 1952953648 |
|---|---|
| Provider Enumeration Date | 07/12/2019 |
| Last Update Date | 04/06/2020 |
| Medicare PECOS PAC ID | 1557795176 |
|---|---|
| Medicare Enrollment ID | O20200107000747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952953648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Samuel Frank Messimer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801807698 PECOS PAC ID: 1052587235 Enrollment ID: I20120110000756 |
| Provider Name | Lindsey M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841733847 PECOS PAC ID: 9638446354 Enrollment ID: I20170601000857 |
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