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2200 N Charles G Seivers Blvd Clinton TN 37716-6738 | |
(423) 566-6872 | |
(423) 566-6871 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2200 N Charles G Seivers Blvd, Clinton, Tennessee |
Authorized Official Name and Position | Paula Lalor (DIRECTOR/DELEGATED OFFICIAL) |
Authorized Official Contact | 6292153953 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2200 N Charles G Seivers Blvd Clinton TN 37716-6738 Ph: (423) 566-6872 | 2200 N Charles G Seivers Blvd Clinton TN 37716-6738 Ph: (423) 566-6872 |
NPI Number | 1093300717 |
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Provider Enumeration Date | 03/04/2021 |
Last Update Date | 03/29/2021 |
Medicare PECOS PAC ID | 3173795168 |
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Medicare Enrollment ID | O20210313000013 |
Identifier | Type | State | Issuer |
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1093300717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Cherokee Health Systems Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 165 Frank L Diggs Dr, Clinton, TN 37716 Phone: 865-934-6150 Fax: 865-342-0150 | |