| Pikeville Clinic, Llc | |
|
3062 Main St Pikeville TN 37367-5746 | |
| (423) 447-2955 | |
| (423) 447-2405 |
| Full Name | Pikeville Clinic, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3062 Main St, Pikeville, Tennessee |
| Authorized Official Name and Position | Ruth E. Boynton (MEMBER) |
| Authorized Official Contact | 4234472955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pikeville Clinic, Llc Po Box 349 Pikeville TN 37367-0349 Ph: (423) 447-2955 | Pikeville Clinic, Llc 3062 Main St Pikeville TN 37367-5746 Ph: (423) 447-2955 |
| NPI Number | 1639472137 |
|---|---|
| Provider Enumeration Date | 12/06/2010 |
| Last Update Date | 11/21/2013 |
| Medicare PECOS PAC ID | 4880873371 |
|---|---|
| Medicare Enrollment ID | O20110131000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639472137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Amie S Rainey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093016081 PECOS PAC ID: 4587844915 Enrollment ID: I20110202000384 |
| Provider Name | John D Cranwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134194285 PECOS PAC ID: 9234026329 Enrollment ID: I20160106000561 |
| Provider Name | Desiree Brock-hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811430309 PECOS PAC ID: 7517241292 Enrollment ID: I20170223002002 |
Erlanger Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 Wheelertown Ave, Pikeville, TN 37367 Phone: 423-447-7784 Fax: 423-778-4833 | |
Bledsoe County Primary Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3625 Us 127, Pikeville, TN 37367 Phone: 423-447-6287 Fax: 423-447-6315 | |
Pikeville Urgent Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 344 Church St., Pikeville, TN 37367 Phone: 423-447-2992 Fax: 423-447-2994 | |
Charles P Bownds Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 S Main St, Pikeville, TN 37367 Phone: 423-447-6833 Fax: 423-447-2405 | |
Erlanger Bledsoe-internal Medicine & Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 136 Wheelertown Ave, Pikeville, TN 37367 Phone: 423-778-4767 Fax: 423-778-4833 | |
Arturo L Quito Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 South Main Street, Pikeville, TN 37367 Phone: 423-447-6843 |