| |
207 Murray Dr Newport TN 37821-3631 | |
(423) 613-1360 | |
(423) 613-1361 |
Full Name | |
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Speciality | Clinic/Center |
Location | 207 Murray Dr, Newport, Tennessee |
Authorized Official Name and Position | Larry A Stanifer (CEO) |
Authorized Official Contact | 8655090055 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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207 Murray Dr Newport TN 37821-3631 Ph: (423) 613-1360 | 207 Murray Dr Newport TN 37821-3631 Ph: (423) 613-1360 |
NPI Number | 1801045380 |
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Provider Enumeration Date | 09/09/2008 |
Last Update Date | 09/09/2008 |
Medicare PECOS PAC ID | 1456384080 |
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Medicare Enrollment ID | O20080930000143 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801045380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Healthstar Physicians, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 4th St, Newport, TN 37821 Phone: 423-623-6240 Fax: 423-623-0102 | |
James R. Williams M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Heritage Blvd, Newport, TN 37821 Phone: 423-623-0247 | |
The Family Practice Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 4th St, Newport, TN 37821 Phone: 423-623-6240 Fax: 423-623-0102 | |