| |
715 Rugby Hwy Robbins TN 37852-3721 | |
(423) 627-2782 | |
(423) 627-2188 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 715 Rugby Hwy, Robbins, Tennessee |
Authorized Official Name and Position | James C Lovett (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4232864141 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
470 Industrial Ln Oneida TN 37841-6294 Ph: (423) 286-4141 | 715 Rugby Hwy Robbins TN 37852-3721 Ph: (423) 627-2782 |
NPI Number | 1962403428 |
---|---|
Provider Enumeration Date | 08/09/2005 |
Last Update Date | 05/22/2024 |
Medicare PECOS PAC ID | 7517945678 |
---|---|
Medicare Enrollment ID | O20100625000281 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962403428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Tennessee) | Primary |