| Limestone Medical Center | |
|
105 Limestone Ruritan Rd Limestone TN 37681-2515 | |
| (423) 257-8089 | |
| (423) 257-5179 |
| Full Name | Limestone Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 Limestone Ruritan Rd, Limestone, 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 |
|---|---|
| Limestone Medical Center Po Box 850 Rogersville TN 37857-0850 Ph: (423) 272-9163 | Limestone Medical Center 105 Limestone Ruritan Rd Limestone TN 37681-2515 Ph: (423) 257-8089 |
| NPI Number | 1265432074 |
|---|---|
| Provider Enumeration Date | 07/22/2005 |
| Last Update Date | 10/10/2008 |
| Medicare PECOS PAC ID | 0941118111 |
|---|---|
| Medicare Enrollment ID | O20080929000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265432074 | NPI | - | NPPES |
| 4448310 | Medicaid | TN | |
| 4122525 | Other | TN | BLUECROSS BLUESHIELD |
| 014 | Other | CHAMPUS PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Limestone Family Eye Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 364 Opie Arnold Rd, Limestone, TN 37681 Phone: 423-257-2340 Fax: 423-257-8627 | |
Limestone Medical Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 533 Big Limestone Rd, Limestone, TN 37681 Phone: 423-257-8382 Fax: 423-257-8380 |