| Quality Medical Center, Pc | |
|
15 Walker Hill Cir Crossville TN 38555 | |
| (931) 484-1100 | |
| (931) 456-8821 |
| Full Name | Quality Medical Center, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 Walker Hill Cir, Crossville, Tennessee |
| Authorized Official Name and Position | Viswesvar Satyanarayan (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9314841100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Medical Center, Pc Po Box 37 Crossville TN 38557-0037 Ph: (931) 484-1100 | Quality Medical Center, Pc 15 Walker Hill Cir Crossville TN 38555 Ph: (931) 484-1100 |
| NPI Number | 1891072187 |
|---|---|
| Provider Enumeration Date | 11/15/2011 |
| Last Update Date | 11/15/2011 |
| Medicare PECOS PAC ID | 1052585635 |
|---|---|
| Medicare Enrollment ID | O20111116000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891072187 | NPI | - | NPPES |
| 3073098 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD024150 (Tennessee) | Primary |
| Provider Name | Viswesvar Satyanarayan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790719698 PECOS PAC ID: 2961676549 Enrollment ID: I20111116000511 |
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