Dayspring Jellico | |
550 Sunset Trl Jellico TN 37762 | |
(423) 784-5771 | |
(423) 784-6185 |
Full Name | Dayspring Jellico |
---|---|
Speciality | Clinic/Center |
Location | 550 Sunset Trl, Jellico, Tennessee |
Authorized Official Name and Position | Geogy Thomas (CEO) |
Authorized Official Contact | 4237848492 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dayspring Jellico 107 S Main St P.o. Box 540 Jellico TN 37762-2154 Ph: (423) 784-8492 | Dayspring Jellico 550 Sunset Trl Jellico TN 37762 Ph: (423) 784-5771 |
NPI Number | 1023022084 |
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Provider Enumeration Date | 07/27/2006 |
Last Update Date | 03/10/2022 |
Medicare PECOS PAC ID | 7214990746 |
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Medicare Enrollment ID | O20110202000563 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023022084 | NPI | - | NPPES |
204123 | Other | TN | BLACK LUNG |
4447931 | Medicaid | TN | |
65903650 | Medicaid | KY | |
0980730 | Other | TN | UMWA |
Dayspring Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 S Main St, Jellico, TN 37762 Phone: 423-784-8492 Fax: 423-784-8358 | |
Jrh Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 188 Hospital Ln Ste 100, Jellico, TN 37762 Phone: 423-933-1355 Fax: 423-933-1348 | |
Hcc Of Jellico Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 188 Hospital Ln, Jellico, TN 37762 Phone: 423-784-7252 | |
Charles H. Wilkens, M.d.,p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 131 Hospital Ln, Jellico, TN 37762 Phone: 423-784-7269 |