| Family Health Care Of Camden, Inc | |
|
350 Hospital Dr Camden TN 38320-1650 | |
| (731) 584-3330 | |
| (731) 584-3332 |
| Full Name | Family Health Care Of Camden, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 350 Hospital Dr, Camden, Tennessee |
| Authorized Official Name and Position | Steven Lee Cannady (PRESIDENT/OWNER) |
| Authorized Official Contact | 7315843330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Care Of Camden, Inc 350 Hospital Dr Camden TN 38320-1650 Ph: (731) 584-3330 | Family Health Care Of Camden, Inc 350 Hospital Dr Camden TN 38320-1650 Ph: (731) 584-3330 |
| NPI Number | 1811196066 |
|---|---|
| Provider Enumeration Date | 07/17/2007 |
| Last Update Date | 02/14/2014 |
| Medicare PECOS PAC ID | 1658409263 |
|---|---|
| Medicare Enrollment ID | O20100503000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811196066 | NPI | - | NPPES |
| 3720512 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | APN6264 (Tennessee) | Primary |
| 363LF0000X | Nurse Practitioner - Family | APN6264 (Tennessee) | Secondary |
| Provider Name | Steven Cannady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164538195 PECOS PAC ID: 8426186040 Enrollment ID: I20100503000106 |
| Provider Name | Virginia Peebles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447574249 PECOS PAC ID: 7719001734 Enrollment ID: I20100827000596 |
| Provider Name | Karen L Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649593112 PECOS PAC ID: 4385760149 Enrollment ID: I20100929000819 |
| Provider Name | Melinda Sue Maranto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831407485 PECOS PAC ID: 2163607375 Enrollment ID: I20110504000232 |
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