Mountain Health Clinic, Llc | |
260 Highway 107 S Del Rio TN 37727-2654 | |
(423) 623-3100 | |
(423) 815-1250 |
Full Name | Mountain Health Clinic, Llc |
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Speciality | Nurse Practitioner |
Location | 260 Highway 107 S, Del Rio, Tennessee |
Authorized Official Name and Position | Kimberly M Setser (FAMILY NURSE PRACTITIONER/OWNER) |
Authorized Official Contact | 4232313801 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mountain Health Clinic, Llc 260 Highway 107 S Del Rio TN 37727-2654 Ph: (423) 231-3801 | Mountain Health Clinic, Llc 260 Highway 107 S Del Rio TN 37727-2654 Ph: (423) 623-3100 |
NPI Number | 1679966162 |
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Provider Enumeration Date | 03/09/2015 |
Last Update Date | 06/07/2021 |
Medicare PECOS PAC ID | 5496073157 |
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Medicare Enrollment ID | O20150409002284 |
Identifier | Type | State | Issuer |
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1679966162 | NPI | - | NPPES |
39291721 | Medicaid | TN | |
1891782702 | Other | TN | PROVIDER NPI |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | 7003 (Tennessee) | Primary |
Provider Name | Kimberly M Setser |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891782702 PECOS PAC ID: 8921082462 Enrollment ID: I20040614001265 |