| Kingsport Medical Center | |
|
737 E Sevier Ave Kingsport TN 37660-4912 | |
| (423) 246-7922 | |
| (423) 246-4248 |
| Full Name | Kingsport Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 737 E Sevier Ave, Kingsport, Tennessee |
| Authorized Official Name and Position | Linda W Buck (CEO) |
| Authorized Official Contact | 4232729163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingsport Medical Center Po Box 850 Rogersville TN 37857-0850 Ph: (423) 272-9163 | Kingsport Medical Center 737 E Sevier Ave Kingsport TN 37660-4912 Ph: (423) 246-7922 |
| NPI Number | 1649270364 |
|---|---|
| Provider Enumeration Date | 07/22/2005 |
| Last Update Date | 10/10/2008 |
| Medicare PECOS PAC ID | 0941118111 |
|---|---|
| Medicare Enrollment ID | O20080930000513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649270364 | NPI | - | NPPES |
| 3703862 | Other | CIGNA/MEDICARE | |
| 003 | Other | CHAMPUS PROVIDER | |
| 023398200 | Other | BLACKLUNG | |
| 4122525 | Other | TN | BLUECROSS BLUESHIELD |
| 4448223 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Wps Providers Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 | |
Sullivan And Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2204 Pavilion Dr Ste 108, Kingsport, TN 37660 Phone: 423-392-6100 Fax: 423-392-0803 | |
Kingsport Primary Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1526 Bridgewater Ln, Kingsport, TN 37660 Phone: 423-246-0033 Fax: 423-245-0034 | |
Tri-cities Gastroenterology Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10461 Wallace Alley St, Kingsport, TN 37663 Phone: 423-279-1400 | |
Kingsport Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 Fax: 423-224-4693 | |
Carl E Bendeck Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1328 Belmeade Dr, Kingsport, TN 37664 Phone: 423-578-3489 | |
A. Evan Lewis Phd Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1936 Brookside Dr Ste D, Kingsport, TN 37660 Phone: 423-392-5020 Fax: 423-392-5100 |