| Dickson Community Clinic, Inc. | |
|
114 Highway 70 E Ste A-5 Dickson TN 37055-7030 | |
| (615) 441-1486 | |
| (615) 441-1493 |
| Full Name | Dickson Community Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 114 Highway 70 E Ste A-5, Dickson, Tennessee |
| Authorized Official Name and Position | Vicki Marie Terry (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6159794105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dickson Community Clinic, Inc. 114 Highway 70 E Ste A-5 Dickson TN 37055-7030 Ph: (615) 441-1486 | Dickson Community Clinic, Inc. 114 Highway 70 E Ste A-5 Dickson TN 37055-7030 Ph: (615) 441-1486 |
| NPI Number | 1225611692 |
|---|---|
| Provider Enumeration Date | 05/03/2021 |
| Last Update Date | 05/09/2022 |
| Medicare PECOS PAC ID | 0941687743 |
|---|---|
| Medicare Enrollment ID | O20220517001766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225611692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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