| Mountain City Medical Center | |
|
222 Oak St Mountain City TN 37683-1526 | |
| (423) 727-6319 | |
| (423) 727-4164 |
| Full Name | Mountain City Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 222 Oak St, Mountain City, 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 |
|---|---|
| Mountain City Medical Center Po Box 850 Rogersville TN 37857-0850 Ph: (423) 272-9163 | Mountain City Medical Center 222 Oak St Mountain City TN 37683-1526 Ph: (423) 727-6319 |
| NPI Number | 1720088537 |
|---|---|
| Provider Enumeration Date | 07/22/2005 |
| Last Update Date | 10/10/2008 |
| Medicare PECOS PAC ID | 0941118111 |
|---|---|
| Medicare Enrollment ID | O20040505000964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720088537 | NPI | - | NPPES |
| 4122525 | Other | TN | BLUECROSS BLUESHIELD |
| 3703867 | Other | CIGNA/MEDICARE | |
| 4448155 | Medicaid | TN | |
| 004 | Other | CHAMPUS PROVIDER | |
| 020845900 | Other | BLACKLUNG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Bhrhc Mt. City Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1901 S Shady St, Mountain City, TN 37683 Phone: 423-727-1100 Fax: 423-727-1105 | |
Msmg Ip Services Johnson County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 S Shady St Ste A, Mountain City, TN 37683 Phone: 423-727-1103 Fax: 423-727-1140 | |
Mountain City Extended Hours Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1901 S Shady Street, Mountain City, TN 37683 Phone: 423-727-1150 Fax: 423-727-1152 | |
Donald F Tarr Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200 Cold Springs Rd, Mountain City, TN 37683 Phone: 423-727-7743 Fax: 423-727-5509 | |
Donald R Walters Mdpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 N Church St, Mountain City, TN 37683 Phone: 423-727-7711 Fax: 423-727-0209 | |
Bhrhc Mtncity Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1901 S Shady St, Mountain City, TN 37683 Phone: 423-727-1103 Fax: 423-727-1140 | |
Northeast Tennessee Health And Home Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Kellogg Dr, Mountain City, TN 37683 Phone: 423-460-3232 Fax: 423-460-3234 |