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4233 Highway 411 Suite B Madisonville TN 37354-1571 | |
(423) 745-7500 | |
(423) 745-7501 |
Full Name | |
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Speciality | Clinic/Center |
Location | 4233 Highway 411, Madisonville, Tennessee |
Authorized Official Name and Position | Saji Kottappura Gopinathan (PRESIDENT) |
Authorized Official Contact | 4237457500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 925 Athens TN 37371-0925 Ph: (423) 745-7500 | 4233 Highway 411 Suite B Madisonville TN 37354-1571 Ph: (423) 745-7500 |
NPI Number | 1215471198 |
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Provider Enumeration Date | 12/12/2016 |
Last Update Date | 12/12/2016 |
Medicare PECOS PAC ID | 4789728403 |
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Medicare Enrollment ID | O20170407000597 |
Identifier | Type | State | Issuer |
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1215471198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Chota Community Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4798 New Highway 68, Madisonville, TN 37354 Phone: 423-442-2622 Fax: 423-442-5760 | |
Wil-sav Clinical Services Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4249 Highway 411 Ste 5, Madisonville, TN 37354 Phone: 423-442-9729 Fax: 423-442-5057 | |
Family Practice Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4233 Highway 411, Madisonville, TN 37354 Phone: 423-442-2622 Fax: 423-442-5760 | |
Chota Community Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4798 New Highway 68, Madisonville, TN 37354 Phone: 423-442-2622 Fax: 423-442-5760 |