| Okies Clinical Services Llc | |
|
1050 Rutledge Pike Blaine TN 37709-3027 | |
| (423) 200-6966 | |
| (865) 932-7775 |
| Full Name | Okies Clinical Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1050 Rutledge Pike, Blaine, Tennessee |
| Authorized Official Name and Position | Micah Craine (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4232006966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Okies Clinical Services Llc 1050 Rutledge Pike Blaine TN 37709-3027 Ph: (423) 200-6966 | Okies Clinical Services Llc 1050 Rutledge Pike Blaine TN 37709-3027 Ph: (423) 200-6966 |
| NPI Number | 1063180750 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 09/22/2021 |
| Medicare PECOS PAC ID | 0446649479 |
|---|---|
| Medicare Enrollment ID | O20211115000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063180750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Laura Purdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20200221002266 |
| Provider Name | Joel Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194783472 PECOS PAC ID: 7517943327 Enrollment ID: I20221027002153 |