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300 River Rd Sneedville TN 37869-3806 | |
(423) 733-2061 | |
(423) 733-1965 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 300 River Rd, Sneedville, Tennessee |
Authorized Official Name and Position | Linda W Buck (CEO) |
Authorized Official Contact | 4232729163 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 850 Rogersville TN 37857-0850 Ph: (423) 272-9163 | 300 River Rd Sneedville TN 37869-3806 Ph: (423) 733-2061 |
NPI Number | 1861492431 |
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Provider Enumeration Date | 07/26/2005 |
Last Update Date | 10/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861492431 | NPI | - | NPPES |
4448312 | Medicaid | TN | |
020365600 | Other | BLACKLUNG | |
3716671 | Other | CIGNA/MEDICARE | |
4122525 | Other | TN | BLUECROSS BLUSHIELD |
028 | Other | CHAMPUS PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |