| Good Health Clinic Professional Limited Liability Company | |
|
199 W Petty Ln Winchester TN 37398-1128 | |
| (931) 213-3976 | |
| (931) 281-3976 |
| Full Name | Good Health Clinic Professional Limited Liability Company |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 199 W Petty Ln, Winchester, Tennessee |
| Authorized Official Name and Position | Katie Goodman Hill (NP) |
| Authorized Official Contact | 9316910399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Health Clinic Professional Limited Liability Company 515 Billy Goat Hill Rd Winchester TN 37398-4951 Ph: (931) 213-3976 | Good Health Clinic Professional Limited Liability Company 199 W Petty Ln Winchester TN 37398-1128 Ph: (931) 213-3976 |
| NPI Number | 1750959318 |
|---|---|
| Provider Enumeration Date | 06/11/2021 |
| Last Update Date | 10/21/2021 |
| Medicare PECOS PAC ID | 0244628816 |
|---|---|
| Medicare Enrollment ID | O20211101002103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750959318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Katie L Goodman-hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831449990 PECOS PAC ID: 4587803549 Enrollment ID: I20130624000323 |
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