West Tennessee Medical Group Primary Care Paris Henr | |
305 Tyson Avenue Paris TN 38242-4544 | |
(731) 642-0025 | |
(731) 644-9639 |
Full Name | West Tennessee Medical Group Primary Care Paris Henr |
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Speciality | Clinic/Center |
Location | 305 Tyson Avenue, Paris, Tennessee |
Authorized Official Name and Position | Tina Prescott (INTERIM PRESIDENT AND CEO) |
Authorized Official Contact | 7315416767 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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West Tennessee Medical Group Primary Care Paris Henr 301 Tyson Avenue Paris TN 38242-4544 Ph: (731) 642-0025 | West Tennessee Medical Group Primary Care Paris Henr 305 Tyson Avenue Paris TN 38242-4544 Ph: (731) 642-0025 |
NPI Number | 1447861562 |
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Provider Enumeration Date | 08/12/2020 |
Last Update Date | 10/09/2024 |
Medicare PECOS PAC ID | 6002898665 |
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Medicare Enrollment ID | O20200915003806 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447861562 | NPI | - | NPPES |
0443469 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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