Bluff City Medical Center | |
229 Highway 19 E Bluff City TN 37618-1865 | |
(423) 538-5116 | |
(423) 538-3861 |
Full Name | Bluff City Medical Center |
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Speciality | Clinic/Center |
Location | 229 Highway 19 E, Bluff City, Tennessee |
Authorized Official Name and Position | Wanda Brown (CREDENTIALING ADMINISTRATOR) |
Authorized Official Contact | 4232729163 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bluff City Medical Center Po Box 850 Rogersville TN 37857-0850 Ph: (423) 272-9163 | Bluff City Medical Center 229 Highway 19 E Bluff City TN 37618-1865 Ph: (423) 538-5116 |
NPI Number | 1972503753 |
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Provider Enumeration Date | 07/22/2005 |
Last Update Date | 10/10/2008 |
Medicare PECOS PAC ID | 0941118111 |
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Medicare Enrollment ID | O20080930000315 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972503753 | NPI | - | NPPES |
4448150 | Medicaid | TN | |
020845900 | Other | BLACK LUNG | |
3703866 | Other | CIGNA / MEDICARE | |
4122525 | Other | TN | BLUECROSS BLUESHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |