| Mobile Health Van | |
|
435 2nd St Newport TN 37821-3703 | |
| (423) 625-2200 | |
| Not Available |
| Full Name | Mobile Health Van |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 435 2nd St, Newport, Tennessee |
| Authorized Official Name and Position | Brenda Ellis (PRIVACY OFFICER) |
| Authorized Official Contact | 8655492121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Health Van 435 2nd St Newport TN 37821-3703 Ph: () - | Mobile Health Van 435 2nd St Newport TN 37821-3703 Ph: (423) 625-2200 |
| NPI Number | 1326017591 |
|---|---|
| Provider Enumeration Date | 03/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326017591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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Class 'a' Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 157 Highway 25 E, Newport, TN 37821 Phone: 423-720-9111 Fax: 423-301-5756 | |
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