| Tennova Lafollette Medical Center Clinic | |
|
905 E Central Ave Lafollette TN 37766-2055 | |
| (423) 907-1600 | |
| (423) 907-1646 |
| Full Name | Tennova Lafollette Medical Center Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 905 E Central Ave, Lafollette, 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 905 E Central Ave La Follette TN 37766-2768 Ph: (423) 907-1600 | Tennova Lafollette Medical Center Clinic 905 E Central Ave Lafollette TN 37766-2055 Ph: (423) 907-1600 |
| NPI Number | 1407838261 |
|---|---|
| Provider Enumeration Date | 11/17/2005 |
| Last Update Date | 03/29/2021 |
| Medicare PECOS PAC ID | 3173795168 |
|---|---|
| Medicare Enrollment ID | O20111121000379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407838261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 0000000008 (Tennessee) | Primary |
Lafollette General Surgery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 E Central Ave, Suite 201, Lafollette, TN 37766 Phone: 423-907-1680 Fax: 423-907-1684 | |
Campbell County Walk In Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301 Jacksboro Pkie, Lafollette, TN 37766 Phone: 423-566-8283 |