| Portland Prescription Shop Pllc | |
|
705 S Broadway St Portland TN 37148-1628 | |
| (615) 323-5050 | |
| (615) 323-5052 |
| Full Name | Portland Prescription Shop Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 705 S Broadway St, Portland, Tennessee |
| Authorized Official Name and Position | Michael E Stinnett (CEO) |
| Authorized Official Contact | 2703924248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Prescription Shop Pllc 705 S Broadway St P.o. Box 910 Portland TN 37148-1628 Ph: (615) 323-5050 | Portland Prescription Shop Pllc 705 S Broadway St Portland TN 37148-1628 Ph: (615) 323-5050 |
| NPI Number | 1043612880 |
|---|---|
| Provider Enumeration Date | 09/24/2014 |
| Last Update Date | 08/24/2023 |
| Medicare PECOS PAC ID | 1355679291 |
|---|---|
| Medicare Enrollment ID | O20190829003716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043612880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 3336C0003X | Pharmacy - Community/retail Pharmacy | 5451 (Tennessee) | Secondary |
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 |