| Ocoee Regional Health Corporation | |
|
6784 Highway 411 Benton TN 37307-0308 | |
| (423) 338-8995 | |
| (423) 338-8996 |
| Full Name | Ocoee Regional Health Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 6784 Highway 411, Benton, Tennessee |
| Authorized Official Name and Position | Bill R Moats (CEO) |
| Authorized Official Contact | 4233388995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocoee Regional Health Corporation Po Box 308 Benton TN 37307-0308 Ph: (423) 338-8995 | Ocoee Regional Health Corporation 6784 Highway 411 Benton TN 37307-0308 Ph: (423) 338-8995 |
| NPI Number | 1386857381 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 06/29/2021 |
| Medicare PECOS PAC ID | 1355233693 |
|---|---|
| Medicare Enrollment ID | O20210831001715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386857381 | NPI | - | NPPES |
| 3379622 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Benton Family Health Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6784 Highway 411, Benton, TN 37307 Phone: 423-338-2831 Fax: 423-338-2833 | |
Ocoee Regional Health Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 School House Hill Rd, Benton, TN 37307 Phone: 423-338-8995 Fax: 423-338-8996 |