Ocoee Regional Health Corporation | |
964 Old Federal Rd Old Fort TN 37362-7815 | |
(423) 338-8995 | |
(423) 338-8996 |
Full Name | Ocoee Regional Health Corporation |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 964 Old Federal Rd, Old Fort, Tennessee |
Authorized Official Name and Position | William Moats (CEO/PRESIDENT) |
Authorized Official Contact | 4233388995 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ocoee Regional Health Corporation Po Box 308 Benton TN 37307-0308 Ph: (423) 338-8995 | Ocoee Regional Health Corporation 964 Old Federal Rd Old Fort TN 37362-7815 Ph: (423) 338-8995 |
NPI Number | 1538739909 |
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Provider Enumeration Date | 06/29/2021 |
Last Update Date | 06/29/2021 |
Identifier | Type | State | Issuer |
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1538739909 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |