| Erlanger Health | |
|
136 Wheelertown Ave Pikeville TN 37367-5247 | |
| (423) 447-7784 | |
| (423) 778-4833 |
| Full Name | Erlanger Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 136 Wheelertown Ave, Pikeville, Tennessee |
| Authorized Official Name and Position | Lynn Dejaco (CFO, EVP) |
| Authorized Official Contact | 4237784712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erlanger Health 136 Wheelertown Ave Pikeville TN 37367-5247 Ph: (423) 447-7784 | Erlanger Health 136 Wheelertown Ave Pikeville TN 37367-5247 Ph: (423) 447-7784 |
| NPI Number | 1003518929 |
|---|---|
| Provider Enumeration Date | 03/22/2023 |
| Last Update Date | 03/22/2023 |
| Medicare PECOS PAC ID | 1153780226 |
|---|---|
| Medicare Enrollment ID | O20230802003206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003518929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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