| Portland Family Care And Walk-in Clinic | |
|
505 S Broadway Portland TN 37148-1438 | |
| (615) 323-1020 | |
| (615) 323-1021 |
| Full Name | Portland Family Care And Walk-in Clinic |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 505 S Broadway, Portland, Tennessee |
| Authorized Official Name and Position | Emily Tidwell (MEMBER) |
| Authorized Official Contact | 6153231020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Family Care And Walk-in Clinic 505 S Broadway Portland TN 37148-1438 Ph: (615) 323-1020 | Portland Family Care And Walk-in Clinic 505 S Broadway Portland TN 37148-1438 Ph: (615) 323-1020 |
| NPI Number | 1518106020 |
|---|---|
| Provider Enumeration Date | 02/08/2009 |
| Last Update Date | 08/05/2009 |
| Medicare PECOS PAC ID | 2163570474 |
|---|---|
| Medicare Enrollment ID | O20090424000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518106020 | NPI | - | NPPES |
| Provider Name | Carol Lynn Medley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639104268 PECOS PAC ID: 9234182031 Enrollment ID: I20050221000671 |
| Provider Name | Emily J Tidwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588691117 PECOS PAC ID: 7214980333 Enrollment ID: I20050301000169 |
| Provider Name | Brenda Michelle Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285814954 PECOS PAC ID: 7618066168 Enrollment ID: I20071205000544 |
| Provider Name | Randy L Tidwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164661674 PECOS PAC ID: 0244388551 Enrollment ID: I20090424000337 |
Portland Prescription Shop Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 S Broadway St, Portland, TN 37148 Phone: 615-323-5050 Fax: 615-323-5052 | |
Michael D. Littell, D.o., Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 S Broadway, Portland, TN 37148 Phone: 615-325-3100 Fax: 615-325-0076 | |
Portland Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Redbud Dr, Suite E, Portland, TN 37148 Phone: 615-325-1206 | |
One To One Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 932 S Broadway St, Suite B, Portland, TN 37148 Phone: 423-718-9188 | |
Carehere Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carehere Clinic- Nasg Portland, Tn, 160 Kirby Drive, Portland, TN 37148 Phone: 615-221-5901 | |
Portland Family Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 S Broadway St, Portland, TN 37148 Phone: 615-325-3100 Fax: 615-325-0076 | |
Crossroads Medical Group, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Highway 52 W, Portland, TN 37148 Phone: 615-672-7122 |