| Clearwater Investments Inc Byrdstown Medical | |
|
8401 Hwy 111 Byrdstown TN 38549-1006 | |
| (931) 864-3187 | |
| (931) 864-7102 |
| Full Name | Clearwater Investments Inc Byrdstown Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 8401 Hwy 111, Byrdstown, Tennessee |
| Authorized Official Name and Position | Deedee Johnson (CREDENTIALING / SYSTEMS ADMIN) |
| Authorized Official Contact | 9318643187 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearwater Investments Inc Byrdstown Medical 8401 Hwy 111 Byrdstown TN 38549-1006 Ph: (931) 864-3187 | Clearwater Investments Inc Byrdstown Medical 8401 Hwy 111 Byrdstown TN 38549-1006 Ph: (931) 864-3187 |
| NPI Number | 1679583801 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 02/11/2024 |
| Medicare PECOS PAC ID | 2264416676 |
|---|---|
| Medicare Enrollment ID | O20040615000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679583801 | NPI | - | NPPES |
| 3714746 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Matthew J King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932101284 PECOS PAC ID: 0446217442 Enrollment ID: I20041210000785 |
| Provider Name | William A Todd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558534909 PECOS PAC ID: 0345487625 Enrollment ID: I20130725000870 |
Impact Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 W Main St, Byrdstown, TN 38549 Phone: 931-397-4802 | |
Firstchoice Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W Main St, Byrdstown, TN 38549 Phone: 931-864-3232 Fax: 931-864-3231 | |
Upper Cumberland Rural Health Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Courthouse Sq, Byrdstown, TN 38549 Phone: 931-864-0222 Fax: 931-864-0224 | |
Firstchoice Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 W Main St, Byrdstown, TN 38549 Phone: 931-864-3232 Fax: 931-864-3230 |