| Tennova Family Care- Wartrace | |
|
507 Blackman Blvd W Wartrace TN 37183-2210 | |
| (931) 389-0600 | |
| Not Available |
| Full Name | Tennova Family Care- Wartrace |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 507 Blackman Blvd W, Wartrace, Tennessee |
| Authorized Official Name and Position | Paula M Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6159254565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennova Family Care- Wartrace 507 Blackman Blvd W Wartrace TN 37183-2210 Ph: (931) 389-0600 | Tennova Family Care- Wartrace 507 Blackman Blvd W Wartrace TN 37183-2210 Ph: (931) 389-0600 |
| NPI Number | 1376061275 |
|---|---|
| Provider Enumeration Date | 08/31/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376061275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 000000002 (Tennessee) | Primary |
Vanderbilt Integrated Primary Care Wartrace Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 507 Blackman Blvd W, Wartrace, TN 37183 Phone: 931-389-0600 | |
Wartrace Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 Blackman Blvd W, Wartrace, TN 37183 Phone: 931-389-0600 | |
Tennova Family Care-wartrace Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 Blackman Blvd W, Wartrace, TN 37183 Phone: 931-389-0600 | |
Wartrace Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 Blackman Blvd W, Wartrace, TN 37183 Phone: 931-389-0600 Fax: 931-389-6781 |