Lifespan Health | |
207 Main St Clifton TN 38425-5547 | |
(931) 676-3245 | |
Not Available |
Full Name | Lifespan Health |
---|---|
Speciality | Clinic/Center |
Location | 207 Main St, Clifton, Tennessee |
Authorized Official Name and Position | Yainieh T. Mcginley (CEO) |
Authorized Official Contact | 7319252300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lifespan Health Po Box 655 Savannah TN 38372-0655 Ph: (731) 925-2300 | Lifespan Health 207 Main St Clifton TN 38425-5547 Ph: (931) 676-3245 |
NPI Number | 1063660595 |
---|---|
Provider Enumeration Date | 09/09/2008 |
Last Update Date | 01/27/2021 |
Medicare PECOS PAC ID | 3779490776 |
---|---|
Medicare Enrollment ID | O20060801000280 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063660595 | NPI | - | NPPES |
0441906 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Bethesda Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 124 Main St, Clifton, TN 38425 Phone: 931-676-5200 Fax: 931-676-5202 |