| Elite Healthcare, Llc | |
|
117 N 3rd St Kingston TN 37763-2842 | |
| (865) 224-6513 | |
| (865) 245-4546 |
| Full Name | Elite Healthcare, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 117 N 3rd St, Kingston, Tennessee |
| Authorized Official Name and Position | Michael Anthony Lapaglia (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8652246513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Healthcare, Llc 117 N 3rd St Kingston TN 37763-2842 Ph: (865) 224-6513 | Elite Healthcare, Llc 117 N 3rd St Kingston TN 37763-2842 Ph: (865) 224-6513 |
| NPI Number | 1023665403 |
|---|---|
| Provider Enumeration Date | 08/21/2019 |
| Last Update Date | 08/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023665403 | NPI | - | NPPES |
| 3000348 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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