| Bolivar Medical Clinic | |
|
610 Nuckolls Rd Bolivar TN 38008-1532 | |
| (731) 658-7111 | |
| (731) 658-4328 |
| Full Name | Bolivar Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 610 Nuckolls Rd, Bolivar, Tennessee |
| Authorized Official Name and Position | Charles L Frost (DOCTOR) |
| Authorized Official Contact | 7316587111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bolivar Medical Clinic 610 Nuckolls Rd Bolivar TN 38008-1532 Ph: (731) 658-7111 | Bolivar Medical Clinic 610 Nuckolls Rd Bolivar TN 38008-1532 Ph: (731) 658-7111 |
| NPI Number | 1720297708 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 02/28/2011 |
| Medicare PECOS PAC ID | 2264617620 |
|---|---|
| Medicare Enrollment ID | O20110428000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720297708 | NPI | - | NPPES |
| 3720190 | Medicaid | TN | |
| 2006653 | Other | TN | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert W Dunavant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134255078 PECOS PAC ID: 0648462010 Enrollment ID: I20101005000316 |
Primecare Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 622 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-2120 | |
Hardeman County Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3388 Fax: 731-659-3131 | |
New Primecare Clinics, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 622 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-2120 Fax: 731-659-2909 | |
West Tennessee Medical Group Primary Care Bolivar Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 640 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3100 | |
Fast Pace Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1359 W Market St, Bolivar, TN 38008 Phone: 731-361-1003 Fax: 731-361-1004 | |
Unity Health & Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Tennessee St, Bolivar, TN 38008 Phone: 731-212-3196 Fax: 731-212-3193 | |
Hatchie Clinic P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-659-2273 Fax: 731-659-2777 |