| Monterey Medical Llc | |
|
400 W Crawford Ave Monterey TN 38574-1166 | |
| (931) 839-2224 | |
| (931) 839-2530 |
| Full Name | Monterey Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 W Crawford Ave, Monterey, Tennessee |
| Authorized Official Name and Position | Crystal Denise Vaughn (VICE PRESIDENT) |
| Authorized Official Contact | 9312605756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monterey Medical Llc 400 W Crawford Ave Monterey TN 38574-1166 Ph: () - | Monterey Medical Llc 400 W Crawford Ave Monterey TN 38574-1166 Ph: (931) 839-2224 |
| NPI Number | 1497339790 |
|---|---|
| Provider Enumeration Date | 05/12/2021 |
| Last Update Date | 07/08/2021 |
| Medicare PECOS PAC ID | 7012316961 |
|---|---|
| Medicare Enrollment ID | O20210525002719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497339790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Masters Family Medical, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 W Commercial Ave, Monterey, TN 38574 Phone: 931-310-2900 Fax: 972-947-5164 | |
Monterey Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 W Commercial Ave, Monterey, TN 38574 Phone: 931-839-6695 Fax: 931-839-7023 |