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2565 N Washington Ave Brownsville TN 38012-1610 | |
(731) 772-4199 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 2565 N Washington Ave, Brownsville, Tennessee |
Authorized Official Name and Position | Sandra Bakerink (DIRECTOR, PROVIDER ENROLLMENT/AO) |
Authorized Official Contact | 8655001325 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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265 Brookview Centre Way Ste 203 Knoxville TN 37919-4052 Ph: () - | 2565 N Washington Ave Brownsville TN 38012-1610 Ph: (731) 772-4199 |
NPI Number | 1386488922 |
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Provider Enumeration Date | 06/19/2024 |
Last Update Date | 12/04/2024 |
Medicare PECOS PAC ID | 7012457054 |
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Medicare Enrollment ID | O20240905002009 |
Identifier | Type | State | Issuer |
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1386488922 | NPI | - | NPPES |
Bh Services Southeast 1 Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2565 N Washington Ave, Brownsville, TN 38012 Phone: 731-772-4199 | |
Jack Pettigrew Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 514 W College St, Brownsville, TN 38012 Phone: 731-432-9461 | |
Brownsville Clinic Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2545 N Washington Ave, Brownsville, TN 38012 Phone: 731-772-4110 Fax: 731-772-9428 | |
Brownsville Medical Clinic, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2565 N Washington Ave, Brownsville, TN 38012 Phone: 731-772-4199 Fax: 731-772-7703 |