Ascension Medical Group Saint Thomas Sparta Primary Care | |
435 Sewell Dr Sparta TN 38583-1223 | |
(931) 738-4595 | |
Not Available |
Full Name | Ascension Medical Group Saint Thomas Sparta Primary Care |
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Speciality | Clinic/Center |
Location | 435 Sewell Dr, Sparta, Tennessee |
Authorized Official Name and Position | Candace Garrett (MANAGER OF BUSINESS OPERATIONS) |
Authorized Official Contact | 6152907184 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ascension Medical Group Saint Thomas Sparta Primary Care 300 20th Ave N Ste 403 Nashville TN 37203-5180 Ph: (615) 289-3257 | Ascension Medical Group Saint Thomas Sparta Primary Care 435 Sewell Dr Sparta TN 38583-1223 Ph: (931) 738-4595 |
NPI Number | 1972193191 |
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Provider Enumeration Date | 01/21/2021 |
Last Update Date | 06/28/2024 |
Medicare PECOS PAC ID | 7214246156 |
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Medicare Enrollment ID | O20210317000215 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972193191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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