| Heartland Medical P.c. | |
|
309 N Broad St New Tazewell TN 37825-6600 | |
| (423) 626-7297 | |
| (423) 851-4704 |
| Full Name | Heartland Medical P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 309 N Broad St, New Tazewell, Tennessee |
| Authorized Official Name and Position | Pat G Fugate (CREDENTIALING) |
| Authorized Official Contact | 4236267297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Medical P.c. 309 N Broad St New Tazewell TN 37825-6600 Ph: (423) 626-7297 | Heartland Medical P.c. 309 N Broad St New Tazewell TN 37825-6600 Ph: (423) 626-7297 |
| NPI Number | 1508965682 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 07/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508965682 | NPI | - | NPPES |
| 3715984 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Ut Primary Care Heartland Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 309 N Broad St, New Tazewell, TN 37825 Phone: 423-626-7297 Fax: 423-626-1144 | |
Heartland Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 N Broad St, New Tazewell, TN 37825 Phone: 423-626-7297 Fax: 423-626-5553 | |
Fast Pace Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 S Broad St, New Tazewell, TN 37825 Phone: 423-919-8244 Fax: 423-919-8245 | |
Elite Family Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 606 N Broad St, New Tazewell, TN 37825 Phone: 423-626-0466 |