| Tennova Lafollette Medical Center Clinic-jacksboro | |
|
2145 Jacksboro Pike La Follette TN 37766-3003 | |
| (423) 907-1700 | |
| (423) 907-1711 |
| Full Name | Tennova Lafollette Medical Center Clinic-jacksboro |
|---|---|
| Speciality | Clinic/Center |
| Location | 2145 Jacksboro Pike, La Follette, Tennessee |
| Authorized Official Name and Position | Paula M Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6292153953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennova Lafollette Medical Center Clinic-jacksboro Po Box 743615 Atlanta GA 30374-3615 Ph: (423) 907-1700 | Tennova Lafollette Medical Center Clinic-jacksboro 2145 Jacksboro Pike La Follette TN 37766-3003 Ph: (423) 907-1700 |
| NPI Number | 1639183353 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 03/29/2021 |
| Medicare PECOS PAC ID | 3173795168 |
|---|---|
| Medicare Enrollment ID | O20111121000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639183353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Tennova Lafollette Medical Center Clinic - South Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2145 Jacksboro Pike, La Follette, TN 37766 Phone: 423-907-1700 Fax: 423-907-1711 | |
Eastlake Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2205 Jacksboro Pike, La Follette, TN 37766 Phone: 423-352-6500 Fax: 423-352-6501 | |
Tennova Lafollette Medical Center Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 E Central Ave, La Follette, TN 37766 Phone: 423-907-1600 Fax: 423-907-1646 | |
Mercy Cardiology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 E Central Ave, Ste 102, La Follette, TN 37766 Phone: 423-907-1740 | |
Summit Medical Group Of Campbell County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2212 Jacksboro Pike, La Follette, TN 37766 Phone: 423-566-8181 Fax: 423-562-9692 | |
Visavis Health Care Medical Group Of Tn Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 136 Davis Ln, La Follette, TN 37766 Phone: 929-491-7333 | |
Wynn Habersham Community Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1037 Stinking Creek Rd, La Follette, TN 37766 Phone: 423-784-5110 |